Total aortic arch replacement versus proximal aortic repair for acute type a aortic dissection: A single-center 30-year experience

In-hospital mortality after acute type A aortic dissection decreased over time despite the implementation of an aggressive approach to the dissected aortic arch. Long-term survival appears favorable after total arch replacement, but remains contingent on early postoperative survival. The surgical approach should be based on the patient's clinical presentation, while considering total arch replacement in patients at risk of aortic arch reinterventions.

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Publication Details

Journal
JTCVS Open
Published
2024-12-04
DOI
https://doi.org/10.1016/j.xjon.2024.11.014
Citations
1
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.42
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article

Total aortic arch replacement versus proximal aortic repair for acute type a aortic dissection: A single-center 30-year experience

Rolf H. H. Groenwold, Jerry Braun, Joost R. van der Vorst, Jan van Schaik et al.
1 citations
JTCVS Open
Aortic Disease and Treatment Approaches
0.42
article

Total aortic arch replacement versus proximal aortic repair for acute type a aortic dissection: A single-center 30-year experience

Rolf H. H. Groenwold, Jerry Braun, Joost R. van der Vorst, Jan van Schaik, Delano J. de Oliveira Marreiros, Niels Keekstra, Jesper Hjortnaes, Robert J.M. Klautz, Bardia Arabkhani, Jos L Verhoef
article en
1 citations

Abstract

In-hospital mortality after acute type A aortic dissection decreased over time despite the implementation of an aggressive approach to the dissected aortic arch. Long-term survival appears favorable after total arch replacement, but remains contingent on early postoperative survival. The surgical approach should be based on the patient's clinical presentation, while considering total arch replacement in patients at risk of aortic arch reinterventions.

JTCVS OpenVol. 23
Leiden University Medical Center (NL)
Good health and well-being
Openalex Percentile: Top 30%
Aortic Disease and Treatment Approaches
0.42
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Total aortic arch replacement versus proximal aortic repair for acute type a aortic dissection: A single-center 30-year experience — Rolf H. H. Groenwold, Jerry Braun, et al. · JTCVS Open (2024) | TGRS Research Map | TGRS