Uchino Gaku, Yoshida Takeshi, Kakii Bunpachi, Furui Masato
Department of Cardiovascular Surgery, Matsubara Tokushukai Hospital, Osaka, Japan.
Thorac Cardiovasc Surg. 2018 Apr;66(3):222-226. doi: 10.1055/s-0037-1607442. Epub 2017 Oct 27.
As the results of acute type A aortic dissection repair have improved, late reoperation for residual dissection has become increasingly important. We report our experience of graft replacement via extended approaches after a previous acute type A aortic dissection repair.
From April 2003 to September 2016, 17 patients underwent reoperation via extended (repeat median sternotomy plus left thoracotomy) approaches after a previous repair of an acute type A aortic dissection at the Matsubara Tokushukai Hospital in Japan and were included in the analyses (males, 16; mean age at surgery, 60.0 ± 9.3 years).
The postoperative stroke and in-hospital mortality rates were 0 and 5.9%, respectively.
Extended approach after a previous acute type A aortic dissection repair showed acceptable outcomes.
