Clinical outcomes and rates of aortic growth and reoperation after 1-stage repair of extensive chronic thoracic aortic dissection Nicholas T. Kouchoukos,

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Presentation transcript:

Clinical outcomes and rates of aortic growth and reoperation after 1-stage repair of extensive chronic thoracic aortic dissection Nicholas T. Kouchoukos, MD, Alexander Kulik, MD, MPH, Catherine F. Castner, BSN The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 5, Pages 1926-1935 (May 2018) DOI: 10.1016/j.jtcvs.2017.10.158 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Freedom from reoperation on the contiguous distal aorta for aneurysmal degeneration after the 1-stage surgical procedure. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from any aortic reoperation after the 1-stage surgical procedure. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Long-term survival after the 1-stage surgical procedure. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Freedom from death or any reoperation. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Prevalence of major complications according to date of operation. RF, Renal failure. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Freedom from reoperation on the contiguous distal aorta. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Video 1 One-stage repair of a large aneurysm of the ascending aorta arch and DTA using a bilateral anterior thoracotomy (clamshell) incision through the fourth intercostal space, with left axillary, left femoral artery, and left femoral vein cannulation. Unilateral left axillary artery perfusion was used for brain protection after a brief (12 minutes) interval of hypothermic circulatory arrest. Video available at: http://www.jtcvsonline.org/article/S0022-5223(17)33065-9/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

The Journal of Thoracic and Cardiovascular Surgery 2018 155, 1926-1935DOI: (10.1016/j.jtcvs.2017.10.158) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions