Aortic arch surgery after previous type A dissection repair: results up to 5 years
The authors report on aortic arch surgery after previous type A dissection repair in 55 patients. The results with 5% perioperative deaths and 7% permanent stroke are satisfactory in this challenging patient’s group.
Nice paper demonstrating the importance of patient selection and surgical experience. Only 36 of the 55 had a total arch, the others were hemiarch highlighting the importance of using circulatory arrest and performing hemiarch repair at the time of the acute presentation. Also see: http://www.sciencedirect.com/science/article/pii/S0022522314018091 for an analysis of the Cleveland Clinic experience in 227 arches (plus 112 descendings) after previous type A dissection repair with follow-up beyond 7 years.