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Outcome After Surge...
Outcome After Surgery for Acute Type A Aortic Dissection With or Without Primary Tear Resection
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- Uimonen, Mikko (author)
- Tampere University Heart Hospital, Tampere University, Tampere, Finland; Tampere University, Tampere, Finland,University of Tampere
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- Olsson, Christian (author)
- Karolinska Institutet,Karolinska University Hospital
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- Jeppsson, Anders, 1960 (author)
- 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 (author)
- Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Division of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut
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- Chemtob, Raphaelle (author)
- Department of Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio,Cleveland Clinic Foundation
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- Khalil, Ahmad (author)
- Aarhus University Hospital, Aarhus, Denmark
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- Hjortdal, Vibeke (author)
- Aarhus University Hospital, Aarhus, Denmark
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- Hansson, Emma C., 1985 (author)
- 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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- Nozohoor, Shahab (author)
- 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
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- Zindovic, Igor (author)
- 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
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- Gunn, Jarmo (author)
- Turku University Hospital, Turku, Finland
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- Wickbom, Anders, 1987- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Örebro University Hospital, Örebro, Sweden
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- Ahlsson, Anders (author)
- Karolinska Institutet,Karolinska University Hospital
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- Gudbjartsson, Tomas (author)
- Landspitali University Hospital, Faculty of Medicine, University of Iceland, Reykjavik, Iceland,National University Hospital of Iceland
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- Mennander, Ari (author)
- 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
- English.
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In: Annals of Thoracic Surgery. - : Elsevier. - 0003-4975 .- 1552-6259. ; 114:2, s. 492-501
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Abstract
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- 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.
Subject headings
- 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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- ref (subject category)
- art (subject category)
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- By the author/editor
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Uimonen, Mikko
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Olsson, Christia ...
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Jeppsson, Anders ...
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Geirsson, Arnar
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Chemtob, Raphael ...
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Khalil, Ahmad
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show more...
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Hjortdal, Vibeke
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Hansson, Emma C. ...
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Nozohoor, Shahab
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Zindovic, Igor
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Gunn, Jarmo
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Wickbom, Anders, ...
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Ahlsson, Anders
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Gudbjartsson, To ...
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Mennander, Ari
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Annals of Thorac ...
- By the university
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Örebro University
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Karolinska Institutet
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Lund University
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University of Gothenburg