Outcomes of Primary vs Reoperative Aortic Arch Surgery.

ABSTRACT:

Background

Reoperative surgery to replace the aortic arch is perceived as technically complex and high risk. However, this procedure is often necessary to treat primary disease or to create an endovascular landing zone for distal aortic disease. We investigated our institutional outcomes in patients who underwent reoperative open arch (RA) surgery compared with patients who underwent primary arch (PA) replacement.

Methods

All adult patients who underwent open arch surgery from January 2019 to May 2023 at a single academic institution were queried for inclusion. The final cohort was 142 patients; 59 patients underwent RA surgery, and 83 patients received an open arch replacement as their index cardiac operation (PA).

Results

The average age of the entire cohort was 61.

SUBMITTER: DeRoo S 

PROVIDER: S-EPMC12712184 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature