| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 651-657, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
BW Lytle, SS Mahfood, DM Cosgrove and FD Loop
From 1978 through 1987, 225 patients underwent operations that included
replacement of the ascending aorta. One hundred twenty-three patients
underwent composite aortic valve and ascending aortic replacement, 30 had
aortic valve replacement with separate graft replacement of the ascending
aorta, and 72 underwent replacement of the ascending aorta without aortic
valve replacement. Thirty-one (13.8%) in-hospital deaths occurred.
Univariate testing of preoperative and operative variables followed by
logistic regression analyses identified miscellaneous aortic disease,
coronary artery bypass grafting, aortic arch replacement, emergency
operation, surgical date (1978 to 1983), and age (all p less than 0.05) as
factors having independent association with in-hospital mortality.
Follow-up of in-hospital survivors (mean interval 46 months, range 8 to 123
months) documented an overall 5-year survival rate of 76%, 83% after
primary operation and 37% after reoperation. Univariate analyses followed
by multivariate testing indicated that previous operation (p less than
0.0001) and a history of preoperative neurologic symptoms (p = 0.021) were
associated with decreased late survival. At follow-up 88% of late survivors
were free of symptoms. Seven patients have undergone reoperation 1 day to
69 months postoperatively. Although the in-hospital mortality for
operations that include ascending aortic replacement exceeds that for
isolated aortic valve replacement, the late death rate and rate of
reoperation are low.
ARTICLES
Replacement of the ascending aorta. Early and late results
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, OH 44195.
This article has been cited by other articles:
|
|
 |
|
  V. Gariboldi, D. Grisoli, F. Kerbaul, R. Giorgi, A. Riberi, D. Metras, T. G. Mesana, and F. Collart Long-term outcomes after repaired acute type A aortic dissections Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 47 - 51. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Olsson, S. Thelin, E. Stahle, A. Ekbom, and F. Granath Thoracic Aortic Aneurysm and Dissection: Increasing Prevalence and Improved Outcomes Reported in a Nationwide Population-Based Study of More Than 14 000 Cases From 1987 to 2002 Circulation, December 12, 2006; 114(24): 2611 - 2618. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. A Ghavidel, M. B Tabatabaei, M. A Yousefnia, G.-R. Omrani, N. Givtaj, and K. Raesi Mortality and Morbidity After Aortic Root Replacement: 10-Year Experience Asian Cardiovasc Thorac Ann, December 1, 2006; 14(6): 462 - 466. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G. Byrne, A. N. Karavas, M. Leacche, D. Unic, J. D. Rawn, G. S. Couper, T. Mihaljevic, R. J. Rizzo, S. F. Aranki, and L. H. Cohn Impact of Concomitant Coronary Artery Bypass Grafting on Hospital Survival After Aortic Root Replacement Ann. Thorac. Surg., February 1, 2005; 79(2): 511 - 516. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Arsan Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting Ann. Thorac. Surg., July 1, 2004; 78(1): 316 - 319. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. P. Ehrlich, M. Schillinger, M. Grabenwoger, A. Kocher, E. M. Tschernko, P. Simon, A. Bohdjalian, and E. Wolner Predictors of Adverse Outcome and Transient Neurological Dysfuntion Following Surgical Treatment of Acute Type A Dissections Circulation, September 9, 2003; 108(90101): II-318 - 323. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Pacini, F. Ranocchi, E. Angeli, F. Settepani, M. Pagliaro, S. Martin-Suarez, R. Di Bartolomeo, and A. Pierangeli Aortic root replacement with composite valve graft Ann. Thorac. Surg., July 1, 2003; 76(1): 90 - 98. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G. Byrne, T. Gudbjartsson, A. N. Karavas, T. Mihaljevic, B. J. Phillips, S. F. Aranki, J. D. Rawn, and L. H. Cohn Biological vs. mechanical aortic root replacement Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 305 - 310. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. L. Estrera, C. C. Miller III, T. T.T. Huynh, E. E. Porat, and H. J. Safi Replacement of the ascending and transverse aortic arch: determinants of long-term survival Ann. Thorac. Surg., October 1, 2002; 74(4): 1058 - 1065. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Kallenbach, K. Pethig, R.G. Leyh, D. Baric, A. Haverich, and W. Harringer Acute dissection of the ascending aorta: first results of emergency valve sparing aortic root reconstruction Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 218 - 222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Sternik, K. J. Zehr, and H. V. Schaff A method of repair for asymmetric aneurysmal dilatation of the ascending aorta Ann. Thorac. Surg., April 1, 2002; 73(4): 1332 - 1334. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. H. Mehta, T. Suzuki, P. G. Hagan, E. Bossone, D. Gilon, A. Llovet, L. C. Maroto, J. V. Cooper, D. E. Smith, W. F. Armstrong, et al. Predicting Death in Patients With Acute Type A Aortic Dissection Circulation, January 15, 2002; 105(2): 200 - 206. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Panos, B. Amahzoune, J. Robin, G. Champsaur, and J. Ninet Influence of technique of coronary artery implantation on long-term results in composite aortic root replacement Ann. Thorac. Surg., November 1, 2001; 72(5): 1497 - 1501. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R. Moon, T. M. Sundt III, M. K. Pasque, H. B. Barner, C. B. Huddleston, R. J. Damiano Jr, and W. A. Gay Jr Does the extent of proximal or distal resection influence outcome for type A dissections? Ann. Thorac. Surg., April 1, 2001; 71(4): 1244 - 1249. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A.I. Malashenkov, N.I. Rusanov, R.M. Muratov, R.A. Movsesian, B.A. Fursov, V.A. Bykova, and G.I. Tsoukerman Eight years clinical experience with the replacement of the ascending aorta using composite xenopericardial conduit Eur. J. Cardiothorac. Surg., August 1, 2000; 18(2): 168 - 173. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Leyh, C. Schmidtke, C. Bartels, and H.-H. Sievers Valve-sparing aortic root replacement (remodeling/reimplantation) in acute type A dissection Ann. Thorac. Surg., July 1, 2000; 70(1): 21 - 24. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. G. Svensson, J. Longoria, W. A. Kimmel, and E. Nadolny Management of aortic valve disease during aortic surgery Ann. Thorac. Surg., March 1, 2000; 69(3): 778 - 783. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Westaby, T. Katsumata, and G. Vaccari Aortic root replacement with coronary button re-implantation: low risk and predictable outcome Eur. J. Cardiothorac. Surg., March 1, 2000; 17(3): 259 - 265. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, M. Erwin Tan, M. A. Schepens, W. J. Morshuis, and A. Brutel de la Riviere Twenty-four year experience with reoperations after ascending aortic or aortic root replacement Eur. J. Cardiothorac. Surg., December 1, 1999; 16(6): 607 - 612. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Langley, S. J. Rooney, M. J. R. Dalrymple-Hay, J. M. F. Spencer, M. E. Lewis, D. Pagano, M. Asif, J. R. Goddard, V. T. Tsang, R. K. Lamb, et al. REPLACEMENT OF THE PROXIMAL AORTA AND AORTIC VALVE USING A COMPOSITE BILEAFLET PROSTHESIS AND GELATIN-IMPREGNATED POLYESTER GRAFT (CARBO-SEAL): EARLY RESULTS IN 143 PATIENTS J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1014 - 1020. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. R. Smith and T. B. Spanier Aprotinin in deep hypothermic circulatory arrest Ann. Thorac. Surg., July 1, 1999; 68(1): 278 - 286. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Niederhauser, A. Kunzli, B. Seifert, J. Schmidli, M. Lachat, G. Zund, P. Vogt, and M. Turina Conservative treatment of the aortic root in acute type a dissection Eur. J. Cardiothorac. Surg., May 1, 1999; 15(5): 557 - 563. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Dossche, M. A.A.M. Schepens, W. J. Morshuis, A. B. de la Riviere, P. J. Knaepen, and F. E.E. Vermeulen A 23-year experience with composite valve graft replacement of the aortic root Ann. Thorac. Surg., April 1, 1999; 67(4): 1070 - 1077. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Stowe, M. A. Baertlein, M. D. Wierman, M. Rucker, and G. Ebra Surgical management of ascending and aortic arch disease: refined techniques with improved results Ann. Thorac. Surg., August 1, 1998; 66(2): 388 - 395. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Niederhauser, H. Rudiger, P. Vogt, A. Kunzli, G. Zund, and M. Turina Composite graft replacement of the aortic root in acute dissection Eur. J. Cardiothorac. Surg., February 1, 1998; 13(2): 144 - 150. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. N. Girardi, N. G. Talwalkar, and J. S. Coselli Aortic Root Replacement: Results Using the St. Jude Medical/Hemashield Composite Graft Ann. Thorac. Surg., October 1, 1997; 64(4): 1032 - 1035. [Abstract] [Full Text]
|
|
|
|
 |
|
 N. T. Kouchoukos and D. Dougenis Surgery of the Thoracic Aorta N. Engl. J. Med., June 26, 1997; 336(26): 1876 - 1889. [Full Text] [PDF]
|
|
|
|
|
|
H. J. Safi, G. V. Letsou, D. C. Iliopoulos, M. H. Subramaniam, C. C. Miller III, H. Hassoun, P. J. Asimacopoulos, and J. C. Baldwin Impact of Retrograde Cerebral Perfusion on Ascending Aortic and Arch Aneurysm Repair Ann. Thorac. Surg., June 1, 1997; 63(6): 1601 - 1607. [Abstract] [Full Text]
|
|
|
|
|
|
X. M. Mueller, H. T. Tevaearai, C. Y. Genton, M. Hurni, P. Ruchat, A. P. Fischer, F. Stumpe, and L. K. von Segesser Drawback of Aortoplasty for Aneurysm of the Ascending Aorta Associated With Aortic Valve Disease Ann. Thorac. Surg., March 1, 1997; 63(3): 762 - 766. [Abstract] [Full Text]
|
|
|
|
|
|
A. D. Hilgenberg, C. W. Akins, D. L. Logan, G. J. Vlahakes, M. J. Buckley, J. C. Madsen, and D. F. Torchiana Composite Aortic Root Replacement With Direct Coronary Artery Implantation Ann. Thorac. Surg., October 1, 1996; 62(4): 1090 - 1095. [Abstract] [Full Text]
|
|
|
|
|
|
J. I. Fann, J. A. Smith, D. C. Miller, R. S. Mitchell, K. A. Moore, G. Grunkemeier, E. B. Stinson, P. E. Oyer, B. A. Reitz, and N. E. Shumway Surgical Management of Aortic Dissection During a 30-Year Period Circulation, November 1, 1995; 92(9): 113 - 121. [Abstract] [Full Text]
|
|
|
|
|
|
N. T. Kouchoukos Reconstructive Surgery of the Aortic Root Ann. Thorac. Surg., September 1, 1995; 60(3): 734 - 735. [Full Text]
|
|
|
|
|
|
F. Jault, P. Nataf, A. Rama, M. Fontanel, E. Vaissier, A. Pavie, V. Bors, C. Cabrol, and I. Gandjbakhch Chronic disease of the ascending aortaSurgical treatment and long-term results J. Thorac. Cardiovasc. Surg., October 1, 1994; 108(4): 747 - 754. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
