OBJECTIVES: We hypothesized that antegrade open stent graft implantation in the descending aorta during acute @entity1580 surgery is safe and improves @entity1 outcome compared with the standard repair technique. METHODS: Hundred and forty-one consecutive @entity1 underwent surgery for acute @entity1580 at our institution from 2010 to 2016. Of those, 104 @entity1 underwent ascending aorta and hemiarch repair under hypothermic circulatory arrest with antegrade cerebral perfusion (standard group). Since 2013, 37 @entity1 have undergone the standard procedure combined with antegrade stent implantation in the descending aorta (stented group). A matched analysis using the logistic EuroSCORE (37 @entity1 per group) was done. All data were collected prospectively. RESULTS: The mean logistic EuroSCORE was 29 in both groups, @entity3881 . Cardiopulmonary bypass time was 150        57 (standard) vs 157        48 (stented) min, P   =   0.6; aortic clamping 99        47 (standard) vs 100        36 (stented) min, @entity3881 . Stented @entity1 had longer circulatory arrest times with antegrade cerebral perfusion, 23        7 vs 15        7   min, P   <   0.001. @entity64 occurred in 24.3% (standard) vs 8.1% (stented), P   =   0.1; @entity451 developed in 2.7% (standard) vs 0% (stented), @entity3881 . Abdominal intervention due to suspected @entity10478 was needed in 18.9% (standard) vs 5.4% (stented), P   =   0.2. 30-day mortality was 13.5% (standard) vs 0% (stented), P   =   0.05. Survival at 6-month was 100% and 86.5% in @entity1 with implanted stents and standard repair, respectively, P   =   0.02. CONCLUSIONS: Antegrade, open stent graft implantation into the descending aorta during acute @entity1580 repair is safe and is associated with improved outcomes at 6 months postoperatively compared to the standard repair technique.

Modified frozen elephant trunk for acute XXXX : a comparative study with standard repair technique.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3881 :: ('1423', 'Gene') :: ['P   =   1'] @entity64 :: ('MESH:D020521', 'Disease') :: ['Stroke'] @entity10478 :: ('OMIM:155310', 'Disease') :: ['visceral ischaemia'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['type A aortic dissection']
@entity1580 :: (MESH:C562834,Disease) :: ['type A aortic dissection']
