Long-term outcomes after thoracic aortic surgery: A population-based study

Objective Long-term survival after aortic surgery has remained largely unexplored, despite suggestions of superior durability compared with endovascular techniques. The objective of the present study was to determine the long-term survival after open thoracic aortic surgery and to identify the predi...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 2014-07, Vol.148 (1), p.47-52
Main Authors: Higgins, Jennifer, MD, MHSc, Lee, May K., MSc, Co, Caroll, MSc, Janusz, Michael T., MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aorta, Thoracic - surgery
Benchmarking
British Columbia
Cardiothoracic Surgery
Elective Surgical Procedures
Female
Hospital Mortality
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Multivariate Analysis
Odds Ratio
Proportional Hazards Models
Retrospective Studies
Risk Factors
Stroke - etiology
Stroke - mortality
Survivors
Time Factors
Treatment Outcome
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - mortality
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective Long-term survival after aortic surgery has remained largely unexplored, despite suggestions of superior durability compared with endovascular techniques. The objective of the present study was to determine the long-term survival after open thoracic aortic surgery and to identify the predictors of mortality. Methods The provincial database was accessed to identify all adult patients who had undergone primary open thoracic aortic surgery in British Columbia since 1993. Kaplan-Meier survival analyses were performed for the entire group and by year of surgery, urgency of surgery, and aortic segment requiring surgery. Multivariate analyses were performed to identify the predictors of mortality. Results From January 1993 to June 2010, 1960 patients underwent primary open thoracic aortic surgery at 4 hospitals in British Columbia. Overall, the 30-day mortality was 9.1%, with a perioperative stroke rate of 5.8%. Long-term survival was 77.7%, 59.6%, and 44.7% at 5, 10, and 15 years, respectively. Subanalyses demonstrated improved long-term survival in the modern era; among patients undergoing elective aortic surgery; and among patients undergoing surgery on the ascending aorta or aortic root ( P  
ISSN:0022-5223
1097-685X
DOI:10.1016/j.jtcvs.2013.07.028