| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 659-673, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
ES Crawford, LG Svensson, JS Coselli, HJ Safi and KR Hess
Ascending aorta and/or aortic arch reconstruction by composite valve graft
(281, 39%), separate valve graft (117, 16%), graft only (256, 36%), and
other procedures (63, 9%) was used for aneurysm or dissection caused by
trauma (6), infection (20), aortitis (46), dissection (261: acute 72,
chronic 189), and medial degeneration (384) in 717 patients during the
9-year period between Jan. 11, 1980, and Jan. 16, 1989. Of these, 150 had
173 previous heart or aortic operations and needed reoperation for
progression or recurrence of aneurysm, rupture, valvular insufficiency,
aortocutaneous or aorta-heart chamber fistulas, great vein or airway
obstruction, and infection. Concurrent distal aneurysmal disease was
present or developed in 267 (37%) patients, being most prevalent in
patients with arch involvement (211/395, 53%). These patients were treated
either simultaneously or later. The ages ranged from 10 to 88 years, median
61. Aneurysm symptoms were mild or absent in 593 (83%) and severe in 124
(17%). The 30-day survival rate was 91%. The independent determinants
predictive of 30-day death were increasing age, severe aneurysm symptoms,
diabetes, previous proximal aortic operation, need for cardiac support,
postoperative tracheostomy, postoperative heart dysfunction, and stroke. Of
the 319 patients who had none of the four preoperative factors, 308 (97%)
survived. Survival decreased to 74% in those with two or more factors.
After a total of 1193 operations, the entire aorta was replaced in 53, near
total in 35, total thoracic replacement in 78, and total aorta except arch
in 27. Late survival rates (Kaplan-Meier) were 66% and 57% at 5 and 7
years. Independent predictors of death were severe aneurysm symptoms,
preoperative angina, extent of proximal replacement, associated residual
distal aneurysm, balloon pump, renal dysfunction, cardiac dysfunction, and
stroke. Five-year survival rates varied with the incidence of the four
preoperative variables and age in a single patient: 78% in 413 patients
with up to one variables, 57% in 193 patients with two or three, and 39% in
111 patients with three or four (p less than 0.0001).
ARTICLES
Surgical treatment of aneurysm and/or dissection of the ascending aorta, transverse aortic arch, and ascending aorta and transverse aortic arch. Factors influencing survival in 717 patients
Department of Surgery, Baylor College of Medicine, Houston, Texas.
This article has been cited by other articles:
|
|
 |
|
  D. R. Brinster, R. J. Rizzo, and R. M. Bolman III Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2008; 3(2008): 1223 - 1250. [Full Text]
|
|
|
|
 |
|
 G. J. Arnaoutakis, A. Bihorac, T. D. Martin, P. J. Hess Jr, C. T. Klodell, A. A. Ejaz, C. Garvan, C. G. Tribble, and T. M. Beaver RIFLE criteria for acute kidney injury in aortic arch surgery. J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1554 - 1561. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. E. Achneck, J. A. Rizzo, M. Tranquilli, and J. A. Elefteriades Safety of Thoracic Aortic Surgery in the Present Era Ann. Thorac. Surg., October 1, 2007; 84(4): 1180 - 1185. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. S. Kalkat, M.-B. Edwards, K. M. Taylor, and R. S. Bonser Composite Aortic Valve Graft Replacement: Mortality Outcomes in a National Registry Circulation, September 11, 2007; 116(11_suppl): I-301 - I-306. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Olsson, N. Eriksson, E. Stahle, and S. Thelin Surgical and long-term mortality in 2634 consecutive patients operated on the proximal thoracic aorta Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 963 - 969. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. J. Safi, C. C. Miller III, A. L. Estrera, M. A. Villa, J. S. Goodrick, E. Porat, and A. Azizzadeh Optimization of Aortic Arch Replacement: Two-Stage Approach Ann. Thorac. Surg., February 1, 2007; 83(2): S815 - S818. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. R. Brinster, D. M. McKee, D. M. Olsen, S. S. Berman, and J. A. Rodriguez-Lopez Endovascular treatment of a thoracic aortic pseudoaneurysm after previous open repair. Ann. Thorac. Surg., July 1, 2006; 82(1): 308 - 310. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Eggebrecht, C. A. Nienaber, M. Neuhauser, D. Baumgart, S. Kische, A. Schmermund, U. Herold, T. C. Rehders, H. G. Jakob, and R. Erbel Endovascular stent-graft placement in aortic dissection: a meta-analysis Eur. Heart J., February 2, 2006; 27(4): 489 - 498. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Yokoyama, Y. Sato, S. Takase, K. Takahashi, H. Wakamatsu, and Y. Sato Introduction of off-pump coronary artery bypass into aortic arch aneurysm repair: A new solution for the surgical treatment of multiorgan arteriosclerosis J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 935 - 936. [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]
|
|
|
|
|
|
A. L. Estrera, C. C. Miller III, E. Porat, S. Mohamed, R. Kincade, T. T. Huynh, and H. J. Safi Determinants of early and late outcome for reoperations of the proximal aorta Ann. Thorac. Surg., September 1, 2004; 78(3): 837 - 845. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Eggebrecht, C. K. Naber, C. Bruch, K. Kroger, C. von Birgelen, A. Schmermund, M. Wichert, T. Bartel, K. Mann, and R. Erbel Value of plasma fibrin D-dimers for detection of acute aortic dissection J. Am. Coll. Cardiol., August 18, 2004; 44(4): 804 - 809. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. K. Harrington, J. P. Lilley, S. J. Rooney, and R. S. Bonser Nonneurologic morbidity and profound hypothermia in aortic surgery Ann. Thorac. Surg., August 1, 2004; 78(2): 596 - 601. [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]
|
|
|
|
|
|
S. Arsan How to avoid problems with reduction aortoplasty Ann. Thorac. Surg., July 1, 2004; 78(1): 386 - 387. [Full Text] [PDF]
|
|
|
|
|
|
T. Miyairi, S. Takamoto, Y. Kotsuka, A. Takeuchi, K. Yamanaka, and H. Sato Neurocognitive outcome after retrograde cerebral perfusion Ann. Thorac. Surg., May 1, 2004; 77(5): 1630 - 1634. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Vernhet, J. M. Serfaty, M. Serhal, E. McFadden, E. Bonnefoy, P. Adeleine, D. Revel, and P. Douek Abdominal CT Angiography Before Surgery as a Predictor of Postoperative Death in Acute Aortic Dissection Am. J. Roentgenol., April 1, 2004; 182(4): 875 - 879. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, K. Yamashita, H. Terada, N. Washiyama, T. Suzuki, K. Ohkura, and K. Suzuki Late reoperation for proximal aortic and arch complications after previous composite graft replacement in marfan patients Ann. Thorac. Surg., October 1, 2003; 76(4): 1203 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. S. Thompson, J. A. Rodriguez, V. G. Ramaiah, D. Olsen, and E. B. Diethrich Pseudoaneurysm of the Aortic Arch After Aortosubclavian Bypass Treated with Endoluminal Stent Grafting: A Case Report Vascular and Endovascular Surgery, September 1, 2003; 37(5): 375 - 379. [Abstract] [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]
|
|
|
|
 |
|
 S. Sasaguri, H. Nishimori, A. Hata, and T. Fukutomi Outflow switch technique during the left heart bypass to prevent the distal embolization in the distal aortic arch surgery Interactive CardioVascular and Thoracic Surgery, March 1, 2003; 2(1): 40 - 42. [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]
|
|
|
|
|
|
C. A. Anderson, R. J. Rizzo, and L. H. Cohn Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2003; 2(2003): 1123 - 1148. [Full Text]
|
|
|
|
|
|
L. G. Svensson, E. M. Nadolny, and W. A. Kimmel Multimodal protocol influence on stroke and neurocognitive deficit prevention after ascending/arch aortic operations Ann. Thorac. Surg., December 1, 2002; 74(6): 2040 - 2046. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Di Eusanio, M. A. A. M. Schepens, W. J. Morshuis, R. Di Bartolomeo, A. Pierangeli, and K. M. Dossche Antegrade selective cerebral perfusion during operations on the thoracic aorta: Factors influencing survival and neurologic outcome in 413 patients J. Thorac. Cardiovasc. Surg., December 1, 2002; 124(6): 1080 - 1086. [Abstract] [Full Text]
|
|
|
|
|
|
A. L. Estrera, C. C. Miller III, E. E. Porat, T. T.T. Huynh, A. Winnerkvist, and H. J. Safi Staged repair of extensive aortic aneurysms Ann. Thorac. Surg., November 1, 2002; 74(5): S1803 - 1805. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, K. Yamashita, N. Washiyama, H. Terada, A. H. M. Bashar, T. Suzuki, and K. Ohkura Impact of an aggressive surgical approach on surgical outcome in type A aortic dissection Ann. Thorac. Surg., November 1, 2002; 74(5): S1844 - 1847. [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]
|
|
|
|
|
|
H. J. Safi, C. C. Miller III, A. L. Estrera, T. T.T. Huynh, F. S. Rubenstein, M. H. Subramaniam, and L. M. Buja Staged Repair of Extensive Aortic Aneurysms: Morbidity and Mortality in the Elephant Trunk Technique Circulation, December 11, 2001; 104(24): 2938 - 2942. [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]
|
|
|
|
|
|
K. Onoda, K. Tanaka, U. Yuasa, T. Shimono, H. Shimpo, and I. Yada Coronary artery aneurysm in a patient with Marfan syndrome Ann. Thorac. Surg., October 1, 2001; 72(4): 1374 - 1377. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. T. Mora Mangano, M. J. Neville, P. H. Hsu, I. Mignea, J. King, and D. C. Miller Aprotinin, Blood Loss, and Renal Dysfunction in Deep Hypothermic Circulatory Arrest Circulation, September 18, 2001; 104(90001): I-276 - 281. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Erbel, F. Alfonso, C. Boileau, O. Dirsch, B. Eber, A. Haverich, H. Rakowski, J. Struyven, K. Radegran, U. Sechtem, et al. Diagnosis and management of aortic dissection: Task Force on Aortic Dissection, European Society of Cardiology Eur. Heart J., September 2, 2001; 22(18): 1642 - 1681. [PDF]
|
|
|
|
|
|
Y. Okita, K. Minatoya, O. Tagusari, M. Ando, K. Nagatsuka, and S. Kitamura Prospective comparative study of brain protection in total aortic arch replacement: deep hypothermic circulatory arrest with retrograde cerebral perfusion or selective antegrade cerebral perfusion Ann. Thorac. Surg., July 1, 2001; 72(1): 72 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Di Bartolomeo, M. Di Eusanio, D. Pacini, M. Pagliaro, C. Savini, A. Nocchi, and A. Pierangeli Antegrade selective cerebral perfusion during surgery of the thoracic aorta: risk analysis Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 765 - 770. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Hirotani, T. Kameda, T. Kumamoto, and S. Shirota Results of a total aortic arch replacement for an acute aortic arch dissection J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 686 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Niederhauser, H. Rudiger, A. Kunzli, B. Seifert, J. Schmidli, P. Vogt, and M. Turina Surgery for acute type a aortic dissection: comparison of techniques Eur. J. Cardiothorac. Surg., September 1, 2000; 18(3): 307 - 312. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. G. Mesana, T. Caus, J.-Y. Gaubert, F. Collart, R. Ayari, J.-M. Bartoli, G. Moulin, and J.-R. Monties Late complications after prosthetic replacement of the ascending aorta: what did we learn from routine magnetic resonance imaging follow-up? Eur. J. Cardiothorac. Surg., September 1, 2000; 18(3): 313 - 320. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Di Bartolomeo, D. Pacini, M. Di Eusanio, and A. Pierangeli Antegrade selective cerebral perfusion during operations on the thoracic aorta: our experience Ann. Thorac. Surg., July 1, 2000; 70(1): 10 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. B. Luciani, G. Casali, G. Faggian, and A. Mazzucco Predicting outcome after reoperative procedures on the aortic root and ascending aorta Eur. J. Cardiothorac. Surg., May 1, 2000; 17(5): 602 - 607. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Shiiya, T. Kunihara, M. Imamura, T. Murashita, Y. Matsui, and K. Yasuda Surgical management of atherosclerotic aortic arch aneurysms using selective cerebral perfusion: 7-year experience in 52 patients Eur. J. Cardiothorac. Surg., March 1, 2000; 17(3): 266 - 271. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, B. A. H. Muhammad, H. Terada, K. Yamashita, M. Takinami, and Y. Tamiya EXTENDED TOTAL ARCH REPLACEMENT FOR ACUTE TYPE A AORTIC DISSECTION: EXPERIENCE WITH SEVENTY PATIENTS J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 558 - 565. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Inoue, H. Hosokawa, T. Iwase, M. Sato, Y. Yoshida, K. Ueno, A. Tsubokawa, T. Tanaka, S. Tamaki, and T. Suzuki Aortic Arch Reconstruction by Transluminally Placed Endovascular Branched Stent Graft Circulation, November 9, 1999; 100(90002): II-316 - 321. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Okita, O. Tagusari, K. Minatoya, M. Ando, S. Kitamura, N. Nakajima, and S. Takamoto Is distal anastomosis only to the true channel in chronic type B aortic dissection justified? Ann. Thorac. Surg., November 1, 1999; 68(5): 1586 - 1591. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Fattori, B. Descovich, P. Bertaccini, F. Celletti, I. Caldarera, A. Pierangeli, and G. Gavelli Composite Graft Replacement of the Ascending Aorta: Leakage Detection with Gadolinium-enhanced MR Imaging Radiology, August 1, 1999; 212(2): 573 - 577. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
|
|
K. M. Dossche, M. A.A.M. Schepens, W. J. Morshuis, F. E. Muysoms, J. J. Langemeijer, and F. E.E. Vermeulen Antegrade selective cerebral perfusion in operations on the proximal thoracic aorta Ann. Thorac. Surg., June 1, 1999; 67(6): 1904 - 1910. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ghariani, L. Liard, J. Spaey, P. H. Noirhomme, G. A. El Khoury, M. de Tourtchaninoff, R. A. Dion, and J.-M. Guerit Retrospective study of somatosensory evoked potential monitoring in deep hypothermic circulatory arrest Ann. Thorac. Surg., June 1, 1999; 67(6): 1915 - 1918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Detter, H. Mair, H.-G. Klein, C. Georgescu, A. Welz, and B. Reichart Long-term prognosis of surgically-treated aortic aneurysms and dissections in patients with and without Marfan syndrome Eur. J. Cardiothorac. Surg., April 1, 1999; 13(4): 416 - 423. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. M. Shapira, G. S. Aldea, S. M. Cutter, C. A. Fitzgerald, A.N.P. H. L. Lazar, and R. J. Shemin Improved clinical outcomes after operation of the proximal aorta: a 10-year experience Ann. Thorac. Surg., April 1, 1999; 67(4): 1030 - 1037. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Westaby, T. Katsumata, and G. Vaccari Arch and descending aortic aneurysms: influence of perfusion technique on neurological outcome Eur. J. Cardiothorac. Surg., February 1, 1999; 15(2): 180 - 185. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Okita, M. Ando, K. Minatoya, S. Kitamura, S. Takamoto, and N. Nakajima Predictive factors for mortality and cerebral complications in arteriosclerotic aneurysm of the aortic arch Ann. Thorac. Surg., January 1, 1999; 67(1): 72 - 78. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. D. Clouse, J. W. Hallett Jr, H. V. Schaff, M. M. Gayari, D. M. Ilstrup, and L. J. Melton III Improved Prognosis of Thoracic Aortic Aneurysms: A Population-Based Study JAMA, December 9, 1998; 280(22): 1926 - 1929. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Calkavur, Y. Atay, T. Yagdi, M. Cikirikcoglu, L. Can, U. Gurcun, M. Ozbaran, O. Bilkay, and S. Buket Clinical Results of Retrograde Cerebral Perfusion in Treatment of Aortic Disease Asian Cardiovasc Thorac Ann, December 1, 1998; 6(4): 288 - 294. [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]
|
|
|
|
|
|
Y. Okita, S. Takamoto, M. Ando, T. Morota, R. Matsukawa, and Y. Kawashima Mortality And Cerebral Outcome In Patients Who Underwent Aortic Arch Operations Using Deep Hypothermic Circulatory Arrest With Retrograde Cerebral Perfusion: No Relation Of Early Death, Stroke, And Delirium To The Duration Of Circulatory Arrest J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 129 - 133. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Dougenis, B. B. Daily, and N. T. Kouchoukos Reoperations on the Aortic Root and Ascending Aorta Ann. Thorac. Surg., October 1, 1997; 64(4): 986 - 992. [Abstract] [Full Text]
|
|
|
|
|
|
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]
|
|
