P271. Proximal Reoperation After Type A Dissection: Results from International Multicenter Registry.
Presented During: POD Abstracts (Available for viewing in the exhibit hall for the duration of the meeting)
Catholic University of Louvain
Lubbeek
Belgium - Contact Me
Cardiac surgeon, practicing in Belgium with major interest in coronary surgery and aortic valve repair.
Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square
Room: Central Park
Description
Introduction: Data about proximal aortic reoperation after Type A dissection are mostly based on single center experience. We aimed to investigate the fate of proximal aorta after Type A dissection, utilizing a large international multicenter registry.
Methods: Data were extracted from an observational, multicenter, retrospective cohort study including 3902 patients who underwent surgery for TAAD at 18 tertiary hospitals. A total of 115 patients underwent a reoperation at the level if the proximal aorta. Freedom from reoperation was estimated with cumulative incidence survival and Fine-Gray competing risk regression model was used to identify independent risk factors for reoperation.
Results: Patients who had a proximal reoperation were younger (57 years vs 65 years, p<0.01), had higher incidence of Marfan syndrome (5.2% vs 1.8%, p 0.02). The median follow-up was 2.2 years (range, 0-17 years). Incidence of proximal reoperation at 5, 10 and 15 years was 2.9%, 4.4% and 6.5% respectively. Age, extension of the dissection in the left coronary were associated with proximal reoperation.
Conclusion: Type A aortic dissection repair was associated with a low proximal reoperation rate. Age and extension of the dissection were associated with reoperation.
Authors
Matteo Pettinari (1), Antonio Dell'Aquila (2), Giuseppe Gatti (3), Andrea Perrotti (4), Tatu Juvonen (5), Mikko Jormalainen (6), Mauro Rinaldi (7), Sven Peterss (8), Marek Pol (9), Igor Vendramin (10), Francesco Nappi (11), Antonio Fiore (12), Angel Pinto (13), Joscha Buech (14), Javier Rodriguez Lega (15), Fausto Biancari (16)
Institutions
(1) Universitaires Cliniques Saint Luc, Belgium, (2) South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Lappeenranta, NA, (3) Azienda Sanitaria Universitaria Giuliana Isontina, Trieste, NA, (4) N/A, Besancon, France, (5) Helsinki University Hospital, Helsinki, Finland, (6) HUS Meilahti Hospital, Helsinki, Finland, (7) AO Citta' della Salute e della Scienza di Torino, Torino, (8) University Hospital Munich, Munich, Germany, (9) Department of Cardiac Surgery, Third Faculty of Medicine, Charles University and University Hospital, Prague, NA, (10) University Hospital of Udine, Udine, italy, (11) Centre Cardiologique du Nord, Paris, France, (12) Hôpitaux Universitaires Henri Mondor, Creteil, NA, (13) N/A, Madrid, (14) LMU University Hospital, Munich, NA, (15) N/A, N/A, (16) Helsinki University Hospital and University of Helsinki, Helsinki, NA
Methods: Data were extracted from an observational, multicenter, retrospective cohort study including 3902 patients who underwent surgery for TAAD at 18 tertiary hospitals. A total of 115 patients underwent a reoperation at the level if the proximal aorta. Freedom from reoperation was estimated with cumulative incidence survival and Fine-Gray competing risk regression model was used to identify independent risk factors for reoperation.
Results: Patients who had a proximal reoperation were younger (57 years vs 65 years, p<0.01), had higher incidence of Marfan syndrome (5.2% vs 1.8%, p 0.02). The median follow-up was 2.2 years (range, 0-17 years). Incidence of proximal reoperation at 5, 10 and 15 years was 2.9%, 4.4% and 6.5% respectively. Age, extension of the dissection in the left coronary were associated with proximal reoperation.
Conclusion: Type A aortic dissection repair was associated with a low proximal reoperation rate. Age and extension of the dissection were associated with reoperation.
Authors
Matteo Pettinari (1), Antonio Dell'Aquila (2), Giuseppe Gatti (3), Andrea Perrotti (4), Tatu Juvonen (5), Mikko Jormalainen (6), Mauro Rinaldi (7), Sven Peterss (8), Marek Pol (9), Igor Vendramin (10), Francesco Nappi (11), Antonio Fiore (12), Angel Pinto (13), Joscha Buech (14), Javier Rodriguez Lega (15), Fausto Biancari (16)
Institutions
(1) Universitaires Cliniques Saint Luc, Belgium, (2) South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Lappeenranta, NA, (3) Azienda Sanitaria Universitaria Giuliana Isontina, Trieste, NA, (4) N/A, Besancon, France, (5) Helsinki University Hospital, Helsinki, Finland, (6) HUS Meilahti Hospital, Helsinki, Finland, (7) AO Citta' della Salute e della Scienza di Torino, Torino, (8) University Hospital Munich, Munich, Germany, (9) Department of Cardiac Surgery, Third Faculty of Medicine, Charles University and University Hospital, Prague, NA, (10) University Hospital of Udine, Udine, italy, (11) Centre Cardiologique du Nord, Paris, France, (12) Hôpitaux Universitaires Henri Mondor, Creteil, NA, (13) N/A, Madrid, (14) LMU University Hospital, Munich, NA, (15) N/A, N/A, (16) Helsinki University Hospital and University of Helsinki, Helsinki, NA
Presentation Duration
PODS will be on display in the exhibit hall for the duration of the meeting during exhibit hall hours. PODS will also be available for viewing on the meeting website. There is no formal presentation associated with your POD, but we encourage you to visit the PODS area during breaks to connect with those viewing.