ArticleJournal of the American Heart Association2017
Outcomes of Reoperation After Acute Type A Aortic Dissection: Implications for Index Repair Strategy.
Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Repair of residual aortic dissection after type a aortic dissection repair: a systematic review.Journal of cardiothoracic surgery · 2026Pooled it
- 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.The Journal of thoracic and cardiovascular surgery · 2023Guideline
- 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2022Guideline
- Guideline
- Fate of proximal anastomosis after aortic repair for acute aortic dissection.Journal of cardiothoracic surgery · 2026Article
- Secondary Thoracoabdominal Aortic Replacement Following Total Arch Repair With a Sutureless Integrated Stented Graft in Marfan Syndrome: A Case Report.The American journal of case reports · 2026Article
- Comparison of Extended Arch Versus Hemiarch Replacement in Elderly Patients With Type A Aortic Dissection: The Shizuoka Kokuho Database.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- A Comprehensive Review of Acute Type A Aortic Dissection: Epidemiology, Classification, Management Strategies, Mortality Risk Assessment, and Ethical Considerations for Patients who Refuse Blood Transfusions.Reviews in cardiovascular medicine · 2025Review
- Unpredictable Aortic Behavior in Identifying Risk Factors for Reintervention: A Prospective Cohort Study.The Thoracic and cardiovascular surgeon · 2025Observational
- Redo axillary artery cannulation in aortic reoperations: Technical variations and implications for optimal outcomes.JTCVS techniques · 2025Article
- Reoperative arch-first total arch repair after previous acute type A aortic dissection repair.JTCVS techniques · 2025Article
- Reinterventions After Repair of Acute Type A Aortic Dissection: Incidence, Outcomes, and Risk Factors.The Annals of thoracic surgery · 2024Observational
- Outcomes of Reoperative Aortic Root Replacement After Previous Acute Type A Dissection Repair.Seminars in thoracic and cardiovascular surgery · 2024Article
- Frozen elephant trunk versus conventional proximal repair of acute aortic dissection type I.Frontiers in cardiovascular medicine · 2024Article
- Current review of acute type A aortic dissection in Malaysia.Indian journal of thoracic and cardiovascular surgery · 2023Review
- The Role of Multimodality Imaging Approach in Acute Aortic Syndromes: Diagnosis, Complications, and Clinical Management.Diagnostics (Basel, Switzerland) · 2023Review
- Distal Reoperations after Repair of Acute Type A Aortic Dissection-Incidence, Causes and Outcomes.Reviews in cardiovascular medicine · 2022Article
- Early outcomes of Sun's procedure in elderly patients with acute aortic dissection: a single-center retrospective study.The Journal of international medical research · 2022Article
- Is Exercise Blood Pressure Putting the Brake on Exercise Rehabilitation after Acute Type A Aortic Dissection Surgery?Journal of clinical medicine · 2022Review
- Hemiarch Versus Arch Replacement in Acute Type A Aortic Dissection: Is the Occam's Razor Principle Applicable?Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal surgical approach for management of acute type A aortic dissection remains controversial. This study aimed to assess outcomes of reoperation after acute type A dissection repair to help guide decision making around index operative strategy. METHODS AND
resultsAll aortic reoperations (n=129) at a single referral institution from August 2005 to April 2016 after prior acute type A dissection repair were reviewed. The primary outcome was 30-day or in-hospital mortality. Secondary outcomes included organ-specific morbidity and 1- and 5-year outcomes as estimated using the Kaplan-Meier method. The majority of initial reoperations were proximal aortic (aortic valve, aortic root, or ascending) or aortic arch procedures (62.5%, n=55); most initial reoperations were performed in the elective setting (83.1%, n=74). Additional nonstaged second or more reoperations were required in 21 patients (23.6%) after the initial reoperation, during a median follow-up of 2.5 years after the initial reoperation. Thirty-day or in-hospital mortality for all reoperations was 7.0% (elective: 6.3%; nonelective: 11.1%) with acceptable rates of organ-specific morbidity, given the procedural complexity. One- and 5-year overall survival after initial reoperation was 85.9% and 64.9%, respectively, with aorta-specific survival of 88% at 5 years.
conclusionsReoperation after acute type A aortic dissection repair is associated with low rates of mortality and morbidity. These data support more limited index repair for acute type A dissection, especially for patients undergoing index repair in lower volume centers without expertise in extensive repair, because reoperations, if needed, can be performed safely in referral aortic centers.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.