Aortic root conservative repair of acute type A aortic dissection involving the aortic root: fate of the aortic root and aortic valve function.
DC Field | Value | Language |
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dc.contributor.author | Ro, Sun Kyun | - |
dc.contributor.author | Kim, Joon Bum | - |
dc.contributor.author | Hwang, Su Kyung | - |
dc.contributor.author | Jung, Sung Ho | - |
dc.contributor.author | Choo, Suk Jung | - |
dc.contributor.author | Chung, Cheol Hyun | - |
dc.contributor.author | Lee, Jae Won | - |
dc.date.accessioned | 2022-07-16T11:59:46Z | - |
dc.date.available | 2022-07-16T11:59:46Z | - |
dc.date.created | 2021-05-13 | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0022-5223 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/163768 | - |
dc.description.abstract | Objectives: Despite many studies about aortic valve function and aortic root geometry after conservative aortic root repair of acute type A aortic dissection, the results are not always consistent or conclusive. This study aims to evaluate aortic root diameter and aortic valve function after surgery for acute type A aortic dissection involving the aortic root. Methods: A retrospective review was performed of 196 consecutive patients (age, 56.9 +/- 11.4 years; 96 men) who underwent conservative aortic root repair including sinotubular junction resuspension for the management of acute type A aortic dissection involving the aortic root. Results: The 30-day mortality rate was 5.1% (n = 10). During a median follow-up period of 45.3 +/- 36.4 months, there were 28 deaths and 11 cases of aortic reoperation (proximal reoperation in 1 and distal reoperation in 10). Of the 6-month survivors (n = 177, 90.3%), echocardiography and computed tomography were performed in the late period (˃6 months) on 115 (65.0%) and 138 (78.0%), respectively. Significant aortic regurgitation (greater than grade 2+) or root dilatation (˃45 mm) was observed in 5 and 19 patients, respectively. Freedom from aortic regurgitation (greater than grade 2+) or root dilatation (˃45 mm) at 5 years was 84.6% +/- 3.9%. On the Cox regression analysis, the maximal aortic root diameter at initial presentation was the only significant predictor of aortic regurgitation and aortic root dilatation (hazard ratio, 1.10; 95% confidence interval, 1.02-1.19; P = .014). Conclusions: Conservative aortic root repair of acute type A aortic dissection demonstrates acceptable long-term clinical outcomes. However, more aggressive approaches should be considered for patients who have aortic root dilatation because of the risk of developing a root aneurysm after surgery. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | MOSBY-ELSEVIER | - |
dc.title | Aortic root conservative repair of acute type A aortic dissection involving the aortic root: fate of the aortic root and aortic valve function. | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ro, Sun Kyun | - |
dc.identifier.doi | 10.1016/j.jtcvs.2012.08.055 | - |
dc.identifier.scopusid | 2-s2.0-84885926414 | - |
dc.identifier.wosid | 000325603300019 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, v.146, no.5, pp.1113 - 1118 | - |
dc.relation.isPartOf | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.citation.title | JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | - |
dc.citation.volume | 146 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1113 | - |
dc.citation.endPage | 1118 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | ANEURYSM | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | RISK | - |
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