Extensive aortic surgery in acute aortic dissection type A on outcome - insights from 25 years single center experience

• Published in: Journal of cardiothoracic surgery 2019-11, Vol.14 (1), p.187-187, Article 187
• Main Authors: Dib, Bashar, Seppelt, Philipp Christian, Arif, Rawa, Weymann, Alexander, Veres, Gábor, Schmack, Bastian, Beller, Carsten J, Ruhparwar, Arjang, Karck, Matthias, Kallenbach, Klaus
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aneurysm, Dissecting - mortality; Aneurysm, Dissecting - surgery; Aorta - surgery; Aortic Aneurysm - mortality; Aortic Aneurysm - surgery; Aortic arch replacement; Aortic dissection; Aortic Valve - surgery; Aortic valve sparing; Blood Vessel Prosthesis Implantation - methods; Care and treatment; Comparative analysis; David technique; Female; Follow-Up Studies; Health aspects; Heart valve diseases; Humans; Logistic Models; Male; Middle Aged; Mortality; Retrospective Studies; Surgery; Survival Analysis; Treatment Outcome; Vascular Surgical Procedures - methods
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-019-1007-7

This single center study compares the different surgical techniques used in the treatment of acute aortic dissection type A (AADA) analyzing the influence of the extent of the surgical approach on outcome. From 1988 to 2012, 407 patients were operated for AADA. The cohort was divided into subgroups according to the surgical approach. These groups were compared with the supracommissural replacement group (SCR; n = 141). Groups included aortic valve sparing techniques (AVS; n = 29), Composite replacement (COMP; n = 119), COMP with total arch replacement (COMP+TAR; n = 27) and SCR with TAR (n = 75). Compared to SCR alone, operation (p = 0.005), bypass-, cross-clamp and circulatory arrest times were longer in SCR + TAR (all p