NDLI: Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection

Content Provider	Springer Nature : BioMed Central
Author	Liu, Chuang Wang, Yao Ouyang, Peigang Sun, Yangxue Huang, Lingchen Sun, Xiaogang Qian, Xiangyang Yu, Cuntao Guo, Hongwei
Abstract	Background For acute type A aortic dissection involving the aortic root with root diameter no more than 45 mm, there are various aortic root repair techniques. In this study, a novel surgical technique using a pericardial autograft for aortic root repair was introduced. We described its surgical steps in detail and compare its clinical outcomes with direct suture technique. Methods Between July 2017 and August 2022, 95 patients with acute type A aortic dissection who underwent aortic root repair were enrolled, including aortic root repair using pericardial autograft (group A, n = 49) or direct suture (group B, n = 46). The patient’s clinical data were retrospectively analyzed, and a 5-year follow-up was conducted. Results The 30-day mortality, re-exploration for bleeding, postoperative new-onset renal failure requiring continuous renal replacement therapy, stroke, and paraplegia occurred in 3%, 4%, 11%, 5%, and 2% of the overall patients, respectively. There was no significant difference in the 30-day mortality and complication rate between the two groups. The 30-day mortality and re-exploration for bleeding marked the primary endpoint events. Logistic regression analysis indicated that there was a significant correlation between the primary endpoint events and surgical technique (odds ratio, 0.002; 95% confidence interval, 0-0.159; P = 0.026). The aortic valve insufficiency of the two groups were significantly improved after operation (group A, P < 0.001; group B, P < 0.001). During follow-up, there was no significant difference in short-term survival between the two groups after surgery (log-rank P = 0.75), and all patients were free from reoperation for aortic disease. Conclusions Patients who underwent aortic root repair using pericardial autograft tended to have reduced 30-day mortality and a lower risk of re-exploration for bleeding. Using pericardial autograft for aortic root repair is a safe and useful approach for patients with acute type A aortic dissection involving the aortic root.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/s13019-024-02909-2.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/s13019-024-02909-2
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2024-06-26
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Acute type A aortic dissection Aortic root repair Pericardial autograft Aortic sinus
Content Type	Text
Resource Type	Article
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

A case report of aortic root repair using a pericardial autograft for type A aortic dissection

Aortic root repair using pericardial autograft for acute type A aortic dissection

Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A

Short-term outcomes of a simple and effective approach to aortic root and arch repair in acute type A aortic dissection

Long-term outcomes after valve-sparing anatomical aortic root reconstruction in acute dissection involving the root

Comparison of population characteristics and clinical outcomes of patients with type B aortic dissection or aortic intramural hematoma underwent thoracic endovascular aortic repair: a propensity score-matched analysis

Clinical outcomes of limited repair and conservative approaches in older patients with acute type A aortic dissection

A graft inversion technique for retrograde type A aortic dissection after thoracic endovascular repair for type B aortic dissection

Short- and long-term outcomes of aortic root repair and replacement in patients undergoing acute type A aortic dissection repair: Twenty-year experience

Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection

Similar Documents

A case report of aortic root repair using a pericardial autograft for type A aortic dissection

Aortic root repair using pericardial autograft for acute type A aortic dissection

Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A

Short-term outcomes of a simple and effective approach to aortic root and arch repair in acute type A aortic dissection

Long-term outcomes after valve-sparing anatomical aortic root reconstruction in acute dissection involving the root

Comparison of population characteristics and clinical outcomes of patients with type B aortic dissection or aortic intramural hematoma underwent thoracic endovascular aortic repair: a propensity score-matched analysis

Clinical outcomes of limited repair and conservative approaches in older patients with acute type A aortic dissection

A graft inversion technique for retrograde type A aortic dissection after thoracic endovascular repair for type B aortic dissection

Short- and long-term outcomes of aortic root repair and replacement in patients undergoing acute type A aortic dissection repair: Twenty-year experience

Clinical outcomes of aortic root repair using pericardial autograft for acute type a aortic dissection