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Diagnostics in pre and post- op managment in AF patiens

Diagnostics in pre and post- op managment in AF patiens. Thorsten Hanke. Presenter Disclosure Information. DISCLOSURE INFORMATION: The following relationships exist related to this presentation: none. Thorsten Hanke:

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Diagnostics in pre and post- op managment in AF patiens

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  1. Diagnostics in preand post-opmanagment in AF patiens Thorsten Hanke

  2. Presenter Disclosure Information DISCLOSURE INFORMATION: The following relationships exist related to this presentation: none Thorsten Hanke: “Does type of aortic root repair in acute type A dissection matter? A comparison between valve sparing procedures and the “gold standard””

  3. Does type of aortic root repair in acute type A dissection matter? A comparison between valve sparing procedures and the “gold standard Thorsten Hanke, Holger Sier, Efstratios I. Charitos, Ulrich Stierle, Hans-H. Sievers

  4. Utilizing complex surgical aortic root procedures in acute type A aortic dissection is still a matter of debate. We reviewed the midterm results in our institution. Methods: All operations for type A aortic dissection performed since 1993 were identified and follow up information was gathered by contacting the patient and/or his/her physician. Results were compared using Kaplan-Meier curves.

  5. Techniques 86 operations were performed: • 37 valve reimplantation procedures (David, 38%) • 29 valve remodeling procedures (Yacoub, 30%) • 27 valve / ascending aortic conduits (Bentall, 31%)

  6. Survival (Kaplan-Meier) David Bentall Yacoub p=0.755

  7. Results In hospital mortality: • 18,5 % in the Bentall group • 13,5 % in the David group and • 6,9 % in the Yacoub group

  8. Results Probabilityofsurvivalandfreedomfromaorticreoperationattenyears was: • 58 % in theBentallgroup • 53 % in the David groupand • 45 % in theYacoubgroup

  9. Results Probability of survival and freedom from aortic reoperation at ten years was: • 58 % in the Bentall group • 54 % in the David group and • 45 % in the Yacoub group No difference according to the type of surgery performed (p=0.755)

  10. Conclusion • When tailored to the specific pathology, aortic valve sparing procedures in comparison to the gold standard Bentall procedure for treatment of the aortic root in type A aortic dissections yield satisfying midterm results regarding survival and freedom of reoperation.

  11. ThankYou!

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