Quantifying the learning curve of emergent total arch replacement in acute type A aortic dissection.

ABSTRACT:

Background

Acute type A aortic dissection with arch involvement is a life-threatening condition, which requires immediate surgical attention. Emergent total arch replacement and root reconstruction is a technically demanding operation with varying outcomes based on surgeon experience. The human factors in total arch replacement in the emergent setting have never been systematically investigated. The ability of surgeons with low volumes to achieve acceptable results in their start-up period is not known.

Methods

From January 2013 to December 2016, patients with acute type A aortic dissection who underwent emergent total arch replacement with three surgeons were enrolled. Basic characteristics, procedural and postoperative outcomes were collected. The time of critical surgical

SUBMITTER: Liu H 

PROVIDER: S-EPMC7475536 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature