ArticleJTCVS open2025
Distal anastomosis new entry tear in acute type A aortic dissection: A risk factor for distal aortic reoperation.
Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Early Single-Center Experience with the Ascyrus Medical Dissection Stent in Acute Type A Aortic Dissection Repair.Aorta (Stamford, Conn.) · 2026Article
- Redo total arch replacement with frozen elephant trunk for patients with previous proximal aortic replacement for acute type A dissection.JTCVS open · 2026Article
- Distal anastomotic new-entry tear after type A aortic dissection repair: Incidence patterns and long-term outcomes by extent of aortic replacement.JTCVS open · 2025Article
- Felt Versus Pericardium for the Sandwich Technique in Type A Aortic Dissection: A Human Cadaver Study.Journal of clinical medicine · 2025Article
- Distal anastomotic new entry tears predict long-term outcomes after hemi-arch repair for DeBakey I aortic dissection†.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
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Authors and funding
11 authors.
Funding
Abstract
Objective: To identify predictive factors for the occurrence of a distal anastomosis new entry tear (DANE) in patients who underwent hemiarch replacement after acute type A aortic dissection (ATAAD) and examine the association of DANE with distal aortic reoperation. Methods: Between 1996 and March 2021, 434 patients underwent hemiarch replacement for DeBakey I ATAAD, of whom 327 patients had adequate postoperative imaging. Based on the presence of DANE on postoperative computed tomography angiography, patients were divided into the DANE group (n = 81) and the no-DANE group (n = 246). Primary outcomes were the cumulative incidence of distal aortic reoperation and the risk factors for DANE. Results: Most perioperative characteristics and outcomes, including age, sex, malperfusion syndromes, aortic diameters, and operative mortality were similar in the 2 groups. Using death as a competing factor, the 10-year cumulative incidence of distal aortic reoperation was higher in the DANE group compared to the no-DANE group (30% vs 12%; Conclusions: Optimizing surgical techniques to prevent DANE in ATAAD repair may prevent the need for reoperation on the distal aorta in DeBakey type I ATAAD.
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