slide1
Download
Skip this Video
Download Presentation
Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis

Loading in 2 Seconds...

play fullscreen
1 / 11

Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis - PowerPoint PPT Presentation


  • 439 Views
  • Uploaded on

Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis. G. Concistrè, MD, E. Santaniello, MD, G. Casali, MD, A. Montalto, MD, B. Fiorani, MD, A. Loforte, MD, A. Dell’Aquila, MD, F. Musumeci, MD Department of Cardiac Surgery and Heart Transplantation

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis' - Melvin


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1
Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis

G. Concistrè, MD, E. Santaniello, MD, G. Casali, MD, A. Montalto, MD, B. Fiorani, MD, A. Loforte, MD, A. Dell’Aquila, MD, F. Musumeci, MD

Department of Cardiac Surgery and Heart Transplantation

San Camillo Hospital

Rome, Italy

Aortic Symposium 2010, NYC

slide2
Objective of Study

To evaluate significant risk factors for reoperations after surgical correction of acute type A aortic dissection

Aortic Symposium 2010, NYC

slide3
Methods of Study
  • Retrospective review of 251 consecutive patients operated for acute type A aortic dissection at our Institution between 1998 and 2008.
  • Twenty-five patients required 25 reoperation at a mean interval of 4.7 years after initial operation.

Aortic Symposium 2010, NYC

slide4
Survival after Initial Operation

1 yrs = 77 ± 3%

5 yrs = 73 ± 3%

14 yrs = 62 ± 5%

Aortic Symposium 2010, NYC

slide5
Freedom from reoperation

1 yrs = 99 ± 0.8%

5 yrs = 82 ± 3%

10 yrs = 79 ± 4%

Aortic Symposium 2010, NYC

slide6
Clinical Profile of Reoperations
  • 25 patients
  • Sex: 84% men
  • Mean age: 62.5 ± 12.4 years
  • Marfan syndrome: 4%

Aortic Symposium 2010, NYC

slide7
Causes of Reoperations
  • Pseudoaneurysm of the proximal and/or distal
  • anastomosis 13 (52%)
  • Aortic valve regurgitation (AVR) 3 (12%)
  • Aortic root aneurysm 3 (12%)
  • Aortic arch aneurysm 3 (12%)
  • Aortic root aneurysm + AVR 2 (8%)
  • Descending aorta aneurysm 1 (4%)

Aortic Symposium 2010, NYC

slide8
Operation Performed
  • Bentall procedure 13 (52%)
  • Ascending aorta replacement 6 (24%)
  • Total arch replacement 3 (12%)
  • Aortic valve replacement 2 (8%)
  • Descending aorta replacement 1 (4%)

Aortic Symposium 2010, NYC

slide9
Follow-up
  • Mean follow-up: 4.7 years, ranging from 0 to 14
  • years
  • 98% complete
  • 3 (12%) late deaths

Aortic Symposium 2010, NYC

slide10
Risk Factors for Reoperations
  • Multivariate Cox regression analysis identified:
  • Patent false lumen (p = 0.0107)
  • Use of surgical glue (p = 0.0270)
  • Not aortic root replacement (p = 0.0004)
  • as risk factors for reoperation

Aortic Symposium 2010, NYC

slide11
Conclusions

Use of GRF glue and aortic root preservation at initial operation influence the risk of new surgical correction in patients operated of acute type A aortic dissection. These patients need a long term follow-up.

Aortic Symposium 2010, NYC

ad