Re-operations on the proximal thoracic aorta: results and predictors of short- and long-term mortality in a series of 174 patients

• DOI: 10.1016/j.ejcts.2011.02.039
• Publication Date: 2011-04-15T15:15:22Z
• Authors: Marco Di Eusanio; Paolo Berretta; Luca Bissoni; Francesco D. Petr...; Luca Di Marco; Roberto Di Bartol...
• Keywords: Thoracic aorta; Cardiothoracic surgery

Objective: The aim of this study was to report results and identify predictors hospital long-term mortality in patients undergoing re-operations on the proximal thoracic aorta. Methods: Between 1986 2009,174 aorta after previous aortic surgery were performed our Institution. patients' mean age 58 years, 132 (75.9%) men. time from last operation 9.9 years. An urgent 35 (20.1%) patients. Indications for included degenerative chronic post-dissection aneurysm (n = 133), acute dissection 8), false 22), active prosthetic infection 11). Root procedures 65 (37.3%) patients, ascending replacement 27 (15.5%), different extents arch 39 (22.4%), root, 43 (24.7%). Results: Hospital 12.6%. On multivariate analysis, cardiopulmonary bypass (CPB) (odds ratio (OR) 1.1018 per min), New York Heart Association (NYHA) class III–IV (OR 3.86), endocarditis 5.15) emerged as independent mortality. Mean follow-up 56 months. estimated 1-, 5-, 10 years' survival 81.6%, 74.2%, 44.5%, respectively. Cox regression (hazard (HR) 1.037 year) CPB (HR 1.010 min) risk factors late Conclusions: Short- satisfactory being excellent with aneurysms dismal those endocarditis. Extensive resections did not increase associated a reduced need re-interventions. remains most important factor surgery.