دورية أكاديمية
Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry.
| العنوان: | Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry. |
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| المؤلفون: | Pan, Emily, Gudbjartsson, Tomas, Ahlsson, Anders, Fuglsang, Simon, Geirsson, Arnar, Hansson, Emma C, Hjortdal, Vibeke, Jeppsson, Anders, Järvelä, Kati, Mennander, Ari, Nozohoor, Shahab, Olsson, Christian, Wickbom, Anders, Zindovic, Igor, Gunn, Jarmo |
| المساهمون: | 1 Heart Center, Turku University Hospital, Turku, Finland, Department of Surgery, University of Turku, Turku, Finland. 2 Landspitali University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 3 Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Orebro, Sweden, School of Health and Medicine, Orebro University, Orebro, Sweden. 4 Department of Thoracic and Cardiovascular Surgery, Aarhus University Hospital, Skejby, Denmark. 5 Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 6 Heart Center, Tampere University Hospital, Tampere, Finland, University of Tampere, Tampere, Finland. 7 Department of Cardiothoracic Surgery, Skane University Hospital, Lund, Sweden, Clinical Sciences, Lund University, Lund, Sweden. 8 Department of Thoracic and Cardiovascular Surgery, Karolinska University Hospital, Stockholm, Sweden. 9 Heart Center, Turku University Hospital, Turku, Finland, Department of Surgery, University of Turku, Turku, Finland. Electronic address: jarmo.gunn@tyks. |
| المصدر: | The Journal of thoracic and cardiovascular surgery |
| بيانات النشر: | MOSBY-ELSEVIER |
| سنة النشر: | 2018 |
| المجموعة: | Hirsla - Landspítali University Hospital research archive |
| مصطلحات موضوعية: | aortic dissection, midterm, outcome, reoperation, Slagæðargúlpur, Æðagúll, Skurðlækningar, Aneurysm, Dissecting |
| الوصف: | To access publisher's full text version of this article click on the hyperlink below ; To describe the relationship between the extent of primary aortic repair and the incidence of reoperations after surgery for type A aortic dissection. A retrospective cohort of 1159 patients treated for type A aortic dissection at eight Nordic low- to medium-sized cardiothoracic centers from 2005 to 2014. Data were gathered from patient records and national registries. Patients were separately divided into 3 groups according to the distal anastomoses technique (ascending aorta [n = 791], hemiarch [n = 247], and total arch [n = 66]), and into 2 groups for proximal repair (aortic root replacement [n = 285] and supracoronary repair [n = 832]). Freedom from reoperation was estimated with cumulative incidence survival and Fine-Gray competing risk regression model was used to identify independent risk factors for reoperation. The median follow-up was 2.7 years (range, 0-10 years). Altogether 51 out of 911 patients underwent reoperation. Freedom from distal reoperation at 5 years was 96.9%, with no significant difference between the groups (P = .22). Freedom from proximal reoperation at 5 years was 97.8%, with no difference between the groups (P = .84). Neither DeBakey classification nor the extent of proximal or distal repair predicted freedom from a later reoperation. The only independent risk factor associated with a later proximal reoperation was a history of connective tissue disease. Type A aortic dissection repair in low- to medium-volume centers was associated with a low reoperation rate and satisfactory midterm survival. The extent of the primary repair had no significant influence on reoperation rate or midterm survival. ; Finnish governmental research funding |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1097-685X |
| العلاقة: | https://www.sciencedirect.com/science/article/pii/S0022522318309322?via%3DihubTest; Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry. 2018, 156(3):939-948 Journal of thoracic and cardiovascular surgery; http://hdl.handle.net/2336/620700Test; Journal of thoracic and cardiovascular surgery |
| DOI: | 10.1016/j.jtcvs.2018.03.144 |
| الإتاحة: | https://doi.org/10.1016/j.jtcvs.2018.03.144Test http://hdl.handle.net/2336/620700Test |
| حقوق: | Open Access - Opinn aðgangur |
| رقم الانضمام: | edsbas.24A0AFDB |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 1097685X |
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| DOI: | 10.1016/j.jtcvs.2018.03.144 |