BACKGROUND: Late survival and freedom from retreatment on the descending aorta was evaluated after ascending aortic repair for type A @entity697 (TAAAD). METHODS: Between March 1992 and January 2006, 189 TAAAD @entity1 (mean age, 52 +/- 11; range, 17 to 83 years) were included; of these, 58 had a patent false lumen, and 49 had @entity1614 . The descending aorta was evaluated postoperatively with computed tomography (CT). Late outcomes were assessed by Cox regression analysis and actuarial survival and freedom from retreatment by the Kaplan-Meier method. Mean follow-up was 88 +/- 44 months. RESULTS: There were 38 (20%) late deaths. At 10 years, survival was 89.8% +/- 2.1% for @entity1 with an occluded false lumen and 59.8% +/- 3.5% for @entity1 with a patent false lumen (p = 0.001), and freedom from retreatment on the descending aorta was 94.2% +/- 3.1% for an occluded false lumen and 63.7% +/- 2.6% for a patent false lumen (p < 0.0001). Descending @entity1755 (p = 0.002) and a patent false lumen (p = 0.001) were predictors for late @entity204 . Patent false lumen (p = 0.0001), @entity1614 (p = 0.03), and descending aortic diameter 4.5 cm or larger (p = 0.002) were predictors for retreatment. CONCLUSIONS: A patent false lumen was a predictor for late @entity204 and retreatment on the descending aorta. @entity1614 and aortic size exceeding 4.5 cm were predictors for late retreatment. These @entity1 require very close follow-up and a plan for retreatment on the descending aorta to prevent @entity944 .

Long-term results after repair of type a XXXX according to false lumen patency.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute aortic dissection'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['aortic rupture'] @entity944 :: ('MESH:D003645', 'Disease') :: ['sudden rupture and late death'] @entity1614 :: ('MESH:D008382', 'Disease') :: ['Marfan syndrome'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity697 :: (MESH:D000208,Disease) :: ['acute aortic dissection']
