Reoperation for enlargement of the distal aorta after initial surgery for acute type A aortic dissection Naoyuki Kimura, MD, PhD, Satoshi Itoh, MD, PhD,

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Reoperation for enlargement of the distal aorta after initial surgery for acute type A aortic dissection Naoyuki Kimura, MD, PhD, Satoshi Itoh, MD, PhD, Koichi Yuri, MD, Koichi Adachi, MD, Harunobu Matsumoto, MD, PhD, Atsushi Yamaguchi, MD, PhD, Hideo Adachi, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 2, Pages S91-S98.e1 (February 2015) DOI: 10.1016/j.jtcvs.2014.08.008 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Treatment strategy for enlargement of the downstream aorta after the initial surgery for ATAAD. TEVAR, Thoracic endovascular aortic repair. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S91-S98.e1DOI: (10.1016/j.jtcvs.2014.08.008) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Risk-adjusted survival of patients with a patent versus thrombosed FL (left) and risk-adjusted freedom from distal aortic events for patients with a patent versus thrombosed FL (right). Dot plots indicate 95% confidence interval. FL, False lumen. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S91-S98.e1DOI: (10.1016/j.jtcvs.2014.08.008) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Representative CT images of chronic dissection after TEVAR. Preoperative images of the thoracic (A) and abdominal (B) aorta, and postoperative (15 months) images of the thoracic (C) and abdominal (D) aorta. Although thrombosis of the FL and decreased total aorta size are confirmed in the thoracic descending aorta, the FL is patent in the abdominal aorta. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S91-S98.e1DOI: (10.1016/j.jtcvs.2014.08.008) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions