JOURNAL ARTICLE

Aortic arch redo surgery: early and mid-term outcomes in 120 patients.

  • Published In: European Journal of Cardio-Thoracic Surgery, 2023, v. 64, n. 6. P. 1 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Dietze, Zara; Kang, Jagdip; Madomegov, Khadzhimurad; Etz, Christian D; Misfeld, Martin; Borger, Michael A; Leontyev, Sergey 3 of 3

Abstract

This study analyzes indications, surgical approaches, and outcomes of redo aortic arch surgery in 120 patients who underwent reoperations after prior proximal aortic surgery between 1996 and 2022. Main indications for redo surgery included new or expanding aortic aneurysms, aortic graft infection, and new dissections, with in-hospital and 30-day mortality rates of 11.7% and 15.0%, respectively. Independent predictors of 30-day mortality were prior surgery for aneurysm and critical preoperative state, while diabetes mellitus and peripheral arterial disease predicted late mortality; connective tissue disorders and longer intervals between surgeries predicted reoperations. Despite technical challenges and significant risks, the study concludes that redo aortic arch surgeries are feasible and can achieve acceptable early and mid-term results.

Additional Information

  • Source:European Journal of Cardio-Thoracic Surgery. 2023/12, Vol. 64, Issue 6, p1
  • Document Type:Article
  • Subject Area:Consumer Health
  • Publication Date:2023
  • ISSN:1010-7940
  • DOI:10.1093/ejcts/ezad419
  • Accession Number:174525594
  • Copyright Statement:Copyright of European Journal of Cardio-Thoracic Surgery is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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