Reoperative surgery on the thoracic aorta

Objective The objective of our study was to report our hospital and long-term results after reinterventions on the thoracic aorta. Methods Between 1986 and 2011, 224 reoperations on the proximal thoracic aorta after previous aortic surgery were performed in our institution. The number of reintervent...

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Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 2013-03, Vol.145 (3), p.S78-S84
Main Authors: Di Bartolomeo, Roberto, MD, Berretta, Paolo, MD, Petridis, Francesco D., MD, Folesani, Gianluca, MD, Cefarelli, Mariano, MD, Di Marco, Luca, MD, PhD, Di Eusanio, Marco, MD, PhD
Format: Article
Language:English
Subjects:
Aged
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - surgery
Aortic Diseases - diagnostic imaging
Aortic Diseases - surgery
Aortography - methods
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - mortality
Cardiopulmonary Bypass - adverse effects
Cardiothoracic Surgery
Elective Surgical Procedures
Emergencies
Female
Hospital Mortality
Humans
Italy
Kaplan-Meier Estimate
Logistic Models
Male
Middle Aged
Multivariate Analysis
Proportional Hazards Models
Reoperation
Risk Factors
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Objective The objective of our study was to report our hospital and long-term results after reinterventions on the thoracic aorta. Methods Between 1986 and 2011, 224 reoperations on the proximal thoracic aorta after previous aortic surgery were performed in our institution. The number of reinterventions quadrupled during the course of the study period. Mean patient age was 58.1 years, and 174 patients (77.7%) were male. An urgent/emergency operation was performed in 39 patients (17.4%). Indications for surgery included degenerative and chronic postdissection aneurysm (n = 166), false aneurysm (n = 31), active prosthetic infection (n = 16), acute dissection (n = 10), and other (n = 1). Surgical procedures involved the aortic root in 40.6% of patients, the ascending aorta in 9.4%, the aortic arch in 24.6%, and the entire proximal thoracic aorta in 25.4%. Results Hospital mortality was 12.1%. On multivariate analysis, cardiopulmonary bypass time (odds ratio, 1.1023/minute; P  
ISSN:0022-5223
1097-685X
DOI:10.1016/j.jtcvs.2012.11.055