Preservation of the Aortic Root During Type A Aortic Dissection Surgery: An Effective Strategy?
Abstract: Background Management of the aortic root during acute Type A aortic dissection (TAAD) repair remains controversial in term of long-term evolution and reoperation. The aim of this study was to assess the long-term outcomes of the aortic root after conservative management during primary surgery. Methods One hundred sixty-four consecutive patients were included in this monocentric retrospective study. The primary endpoint was reoperation on the aortic root during long-term follow-up. Forty-six patients had aortic root replacement (ARR) and 118 had supracoronary aortic replacement (SCR). The 10-year survival, occurrence of significant aortic regurgitation, and radiologic aortic root dilatation in each group were assessed during follow-up. Results Patients from ARR group were younger than those from SCR group (p < 0.0001). Median follow-ups of ARR group and SCR group are 4.4 (interquartile range [IR]: 2.6–8.3) and 6.15 (IR: 2.8–10.53) years, respectively. Reoperation of the aortic root during long-term follow-up was similar in both groups (ARR group: 5.1%, SCR group: 3.3%, p = 0.636). The 10-year survivals of ARR and SCR groups were 64.8 ± 12.3% and 46.3 ± 5.8% (p = 0.012), respectively. Long-term significant aortic regurgitation occurred in one patient (1.7%) and seven patients (7.6%) of the ARR and SCR groups (p = 0.176), respectively. Radiologic aortic root diameters in the SCR group were similar between postoperative period and follow-up studies (p = 0.58). Reoperation on the distal aorta (p = 0.012) and patent radiologic false lumen of the descending aorta (p = 0.043) were independent risk factors of late death. Conclusion SCR is an effective technique for primary TAAD surgery and does not increase the rate of late reoperation on the aortic root.
- Location
-
Deutsche Nationalbibliothek Frankfurt am Main
- Extent
-
Online-Ressource
- Language
-
Englisch
- Bibliographic citation
-
Preservation of the Aortic Root During Type A Aortic Dissection Surgery: An Effective Strategy? ; volume:09 ; number:02 ; year:2021 ; pages:067-075
AORTA ; 09, Heft 02 (2021), 067-075
- Contributor
-
Dang Van, Simon
Laribi, Jihed
Pinaud, Frédéric
Binuani, Patrice
Willoteaux, Serge
Baufreton, Christophe
Fouquet, Olivier
- DOI
-
10.1055/s-0041-1725074
- URN
-
urn:nbn:de:101:1-2021120211435553153887
- Rights
-
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
-
15.08.2025, 7:25 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Dang Van, Simon
- Laribi, Jihed
- Pinaud, Frédéric
- Binuani, Patrice
- Willoteaux, Serge
- Baufreton, Christophe
- Fouquet, Olivier
Other Objects (12)
Chronic Type A Aortic Dissection and Giant Aortic Root Aneurysm After Aortic Valve Replacement
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Giant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection
Intimal Flap Vegetation Following Aortic Root Re-dissection
Early aortic growth in acute descending aortic dissection
Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection
Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection
Complex aortic root surgery in patients with aortic root abcesses
P1 Biomechanical Properties of the Aortic Dissection Flap in Chronic Aortic Dissection
Aortic regurgitation and aortic valve replacement during repair of acute aortic dissection
Quadricuspid Aortic Valvulopathy and Acute Type A Aortic Dissection
Chronic Type A Aortic Dissection and Giant Aortic Root Aneurysm After Aortic Valve Replacement
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Giant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection
Intimal Flap Vegetation Following Aortic Root Re-dissection
Early aortic growth in acute descending aortic dissection
Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection
Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection
Complex aortic root surgery in patients with aortic root abcesses
P1 Biomechanical Properties of the Aortic Dissection Flap in Chronic Aortic Dissection
Aortic regurgitation and aortic valve replacement during repair of acute aortic dissection
Quadricuspid Aortic Valvulopathy and Acute Type A Aortic Dissection
Chronic Type A Aortic Dissection and Giant Aortic Root Aneurysm After Aortic Valve Replacement
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
Giant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection
Intimal Flap Vegetation Following Aortic Root Re-dissection
Early aortic growth in acute descending aortic dissection
Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection
Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection
Complex aortic root surgery in patients with aortic root abcesses
P1 Biomechanical Properties of the Aortic Dissection Flap in Chronic Aortic Dissection
Aortic regurgitation and aortic valve replacement during repair of acute aortic dissection