Resternotomy Plus Left Thoracotomy Surgery after Previous Acute Type A Aortic Dissection Repair

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Abstract

Background As the results of acute type A aortic dissection repair have improved, late reoperation for residual dissection has become increasingly important. We report our experience of graft replacement via extended approaches after a previous acute type A aortic dissection repair.

Methods From April 2003 to September 2016, 17 patients underwent reoperation via extended (repeat median sternotomy plus left thoracotomy) approaches after a previous repair of an acute type A aortic dissection at the Matsubara Tokushukai Hospital in Japan and were included in the analyses (males, 16; mean age at surgery, 60.0 ± 9.3 years).

Results The postoperative stroke and in-hospital mortality rates were 0 and 5.9%, respectively.

Conclusion Extended approach after a previous acute type A aortic dissection repair showed acceptable outcomes.

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