Systematic total arch replacement with thoraflex hybrid graft in acute type A aortic dissection: A single centre experience

Autor: Pierpaolo Chivasso, Generoso Mastrogiovanni, Vito Domenico Bruno, Mario Miele, Mario Colombino, Donato Triggiani, Francesco Cafarelli, Rocco Leone, Felice Rosapepe, Matteo De Martino, Elvira Morena, Ivana Iesu, Rodolfo Citro, Paolo Masiello, Severino Iesu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 9 (2022)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2022.997961
Popis: IntroductionIn the last two decades, a more aggressive approach has been encouraged to treat patients with acute type A aortic dissection (ATAAD), extending the repair to the aortic arch and proximal descending thoracic aorta with the frozen elephant trunk (FET) implantation. Here, we report our single-centre experience with the FET technique for the systematic treatment of emergency type A aortic dissection.Materials and methodsBetween December 2017 and January 2022, 69 consecutive patients were admitted with ATAAD; of those, 66 patients (62.9 ± 10.2 years of age, 81.8% men) underwent emergency hybrid aortic arch and FET repair with the multibranched Thoraflex hybrid graft and were enrolled in the study. Primary endpoints were 30 days- and in-hospital mortality. Secondary endpoints were postoperative morbidity and follow-up survival. To better clarify the impact of age on surgical outcomes, we have divided the study population into two groups: group A for patients
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