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Interrupted Aortic Arch Repair: Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions  David L.S. Morales, MD, Peter T. Scully, Brandi.

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Presentation on theme: "Interrupted Aortic Arch Repair: Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions  David L.S. Morales, MD, Peter T. Scully, Brandi."— Presentation transcript:

1 Interrupted Aortic Arch Repair: Aortic Arch Advancement Without a Patch Minimizes Arch Reinterventions  David L.S. Morales, MD, Peter T. Scully, Brandi E. Braud, Justin H. Booth, BS, Daniel E. Graves, PhD, Jeffrey S. Heinle, MD, E. Dean McKenzie, MD, Charles D. Fraser, MD  The Annals of Thoracic Surgery  Volume 82, Issue 5, Pages (November 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Cardiac catheterization image of a patient after aortic arch advancement. (B) Illustration of aortic arch advancement repair (©Texas Heart Institute, with permission). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Outcomes of all interrupted aortic arch (IAA) patients after aortic arch advancement. *Primary IAA repair + pulmonary artery band (2), + Damus-Kaye-Stansel (DKS) procedure (1), through left thoracotomy (1). (LVOTO = left ventricular outflow tract obstruction; BDG = Bidirectional Glenn; OHT = Orthotopic heart transplant; D/C = discharge.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Kaplan-Meier survival analysis of all patients after interrupted aortic arch (IAA; black line) repair with aortic arch advancement. Error bars represent a 95% confidence interval; numbers in parenthesis are the number of patients at time point. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier analysis of the reintervention rate on the left ventricular outflow tract for all interrupted aortic arch (IAA; black line) patients after aortic arch advancement. Error bars represent a 95% confidence interval; numbers in parenthesis are the number of patients at time point. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions


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