Long-term outcomes after ascending aortic replacement and aortic root replacement for type A aortic dissection.

ABSTRACT:

Objectives

We investigated whether the selective use of supracoronary ascending aorta replacement achieves late outcomes comparable to those of aortic root replacement for acute Stanford type A aortic dissection (TAAD).

Methods

Patients who underwent surgery for acute type A aortic dissection from 2005 to 2018 at the Helsinki University Hospital, Finland, were included in this analysis. Late mortality was evaluated with the Kaplan-Meier method and proximal aortic reoperation, i.e. operation on the aortic root or aortic valve, with the competing risk method.

Results

Out of 309 patients, 216 underwent supracoronary ascending aortic replacement and 93 had aortic root replacement. At 10 years, mortality was 33.8% after aortic root replacement and 35.2% after ascending aor

SUBMITTER: Jormalainen M 

PROVIDER: S-EPMC8860427 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature