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Sökning: (WFRF:(Jeppsson Anders 1960)) lar1:(ki) > (2020-2023) > Outcome After Surge...

Outcome After Surgery for Acute Type A Aortic Dissection With or Without Primary Tear Resection

Uimonen, Mikko (författare)
Tampere University Heart Hospital, Tampere University, Tampere, Finland; Tampere University, Tampere, Finland,University of Tampere
Olsson, Christian (författare)
Karolinska Institutet,Karolinska University Hospital
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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Geirsson, Arnar (författare)
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Division of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut
Chemtob, Raphaelle (författare)
Department of Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio,Cleveland Clinic Foundation
Khalil, Ahmad (författare)
Aarhus University Hospital, Aarhus, Denmark
Hjortdal, Vibeke (författare)
Aarhus University Hospital, Aarhus, Denmark
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
Nozohoor, Shahab (författare)
Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
Zindovic, Igor (författare)
Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection,Skåne University Hospital
Gunn, Jarmo (författare)
Turku University Hospital, Turku, Finland
Wickbom, Anders, 1987- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Örebro University Hospital, Örebro, Sweden
Ahlsson, Anders (författare)
Karolinska Institutet,Karolinska University Hospital
Gudbjartsson, Tomas (författare)
Landspitali University Hospital, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,National University Hospital of Iceland
Mennander, Ari (författare)
Tampere University Heart Hospital, Tampere University, Tampere, Finland; Tampere University, Tampere, Finland,University of Tampere
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 (creator_code:org_t)
Elsevier, 2022
2022
Engelska.
Ingår i: Annals of Thoracic Surgery. - : Elsevier. - 0003-4975 .- 1552-6259. ; 114:2, s. 492-501
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BACKGROUND: The outcome in patients after surgery for acute type A aortic dissection without replacement of the part of the aorta containing the primary tear is undefined.METHODS: Data of 1122 patients who underwent surgery for acute type A aortic dissection in 8 Nordic centers from January 2005 to December 2014 were retrospectively analyzed. The patients with primary tear location unfound, un-known, not confirmed, or not recorded (n = 243, 21.7%) were excluded from the analysis. The patients were divided into 2 groups according to whether the aortic reconstruction encompassed the portion of the primary tear (tear resected [TR] group, n = 730) or not (tear not resected [TNR] group, n = 149). The restricted mean survival time ratios adjusted for patient characteristics and surgical details between the groups were calculated for all-cause mortality and aortic reoperation-free survival. The median follow-up time was 2.57 (interquartile range, 0.53-5.30) years.RESULTS: For the majority of the patients in the TR group, the primary tear was located in the ascending aorta (83.6%). The reconstruction encompassed both the aortic root and the aortic arch in 7.4% in the TR group as compared with 0.7% in the TNR patients (P < .001). There were no significant differences in all-cause mortality (adjusted restricted mean survival time ratio, 1.01; 95% confidence interval, 0.92-1.12; P = .799) or reoperation-free survival (adjusted restricted mean survival time ratio, 0.98; 95% confidence interval, 0.95-1.02; P = .436) between the TR and TNR groups.CONCLUSIONS: Primary tear resection alone does not determine the midterm outcome after surgery for acute type A aortic dissection. (Ann Thorac Surg 2022;114:492-501) (c) 2022 by The Society of Thoracic Surgeons.

Ämnesord

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 -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

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