Aortic arch surgery after previous type A dissection repair: results up to 5 years

Thursday, July 9, 2015

Submitted by

Source

Source Name: Interact CardioVasc Thorac Surg

Source URL: http://icvts.oxfordjournals.org/content/21/1/81.abstract

Author(s)

Pietro Bajona, Eduard Quintana, Hartzell V. Schaff, Richard C. Daly, Joseph A. Dearani, Kevin L. Greason, and Alberto Pochettino

The authors report on aortic arch surgery after previous type A dissection repair in 55 patients. The results with 5% perioperative deaths and 7% permanent stroke are satisfactory in this challenging patient’s group.

Comments

Submitted by Eric Roselli on Thu, 2015-07-09 18:07

Nice paper demonstrating the importance of patient selection and surgical experience. Only 36 of the 55 had a total arch, the others were hemiarch highlighting the importance of using circulatory arrest and performing hemiarch repair at the time of the acute presentation. Also see: http://www.sciencedirect.com/science/article/pii/S0022522314018091 for an analysis of the Cleveland Clinic experience in 227 arches (plus 112 descendings) after previous type A dissection repair with follow-up beyond 7 years.