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Low rate of reopera...
Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry
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- Pan, E. (författare)
- Heart Center, Turku University Hospital, Turku, Finland; Department of Surgery, University of Turku, Turku, Finland
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- Gudbjartsson, T. (författare)
- Landspitali University Hospital, Reykjavik, Iceland; Faculty of Medicine, University of Iceland, Reykjavik, Iceland,National University Hospital of Iceland
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- Ahlsson, A. (författare)
- Örebro University,Karolinska Institutet,Örebro University Hospital
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- Fuglsang, S. (författare)
- Department of Thoracic and Cardiovascular Surgery, Aarhus University Hospital, Skejby, Denmark
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- Jeppsson, Anders, 1960 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Hansson, Emma C., 1985 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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- Hjortdal, V. (författare)
- Department of Thoracic and Cardiovascular Surgery, Aarhus University Hospital, Skejby, Denmark
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- Jeppsson, Anders, 1960 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Jarvela, K. (författare)
- Heart Center, Tampere University Hospital, Tampere, Finland; University of Tampere, Tampere, Finland
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- Mennander, A. (författare)
- Heart Center, Tampere University Hospital, Tampere, Finland; University of Tampere, Tampere, Finland
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- Nozohoor, Shahab (författare)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Olsson, C. (författare)
- Karolinska Institutet,Karolinska University Hospital
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- Wickbom, Anders, 1987- (författare)
- Örebro University,Örebro University Hospital
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- Zindovic, Igor (författare)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Gunn, J. (författare)
- Heart Center, Turku University Hospital, Turku, Finland; Department of Surgery, University of Turku, Turku, Finland
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Journal of Thoracic and Cardiovascular Surgery. - : Elsevier BV. - 0022-5223 .- 1097-685X. ; 156:3, s. 939-948
- Relaterad länk:
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http://www.jtcvs.org...
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https://doi.org/10.1...
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http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objectives: To describe the relationship between the extent of primary aortic repair and the incidence of reoperations after surgery for type A aortic dissection. Methods: 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. Results: 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. Conclusions: 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- aortic dissection
- reoperation
- midterm
- outcome
- midterm outcomes
- term survival
- distal
- surgery
- interventions
- operation
- risk
- Cardiovascular System & Cardiology
- Respiratory System
- Surgery
- aortic dissection
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Pan, E.
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Gudbjartsson, T.
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Ahlsson, A.
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Fuglsang, S.
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Jeppsson, Anders ...
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Hansson, Emma C. ...
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visa fler...
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Hjortdal, V.
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Jarvela, K.
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Mennander, A.
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Nozohoor, Shahab
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Olsson, C.
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Wickbom, Anders, ...
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Zindovic, Igor
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Gunn, J.
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