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Limited Root Repair in Acute Type A Aortic Dissection Is Safe but Results in Increased Risk of Reoperation

Thursday, March 1, 2018

Submitted by

Arie Blitz

Source

Source Name: Journal of Thoracic and Cardiovascular Surgery

Source URL: http://www.jtcvsonline.org/article/S0022-5223(17)31965-7/fulltext

Author(s)

Peter Chiu, Jeffrey Trojan, Sarah Tsou, Andrew B. Goldstone, Y. Joseph Woo, Michael P. Fischbein

This Stanford group retrospectively reviewed their experience over a 10-year period with 293 patients who underwent either limited aortic root repair or root replacement.

Results:

No significant difference in weighted perioperative mortality.
No significant difference in weighted survival.
However, there was a significantly higher rate of later reoperation in the limited root repair group (11% versus 0%, p<0.001).