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CC BY 4.0 · Aorta (Stamford)
DOI: 10.1055/a-2542-4443
Case Report

Reoperative Aortic Root Replacement in Patients with Prior Aortic Valve, Root Replacement, or Arch Replacement Surgery: A Single-Center Experience

Toyokazu Endo 
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Jaimin R. Trivedi
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Priyadarshini Chandrashekhar
2   University of Louisville School of Medicine, Louisville, Kentucky
,
Michele Gallo
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Erin M. Schumer
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Biran Ganzel
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Mark S. Slaughter
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
,
Siddharth Pahwa
1   Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky
› Institutsangaben Funding None.
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Abstract

This case series evaluated the characteristics and outcomes of reoperative root replacement in patients with prior aortic valve replacement (AVR), aortic root replacement (ARR), or ascending or hemiarch replacement (AoR) from our single institution from 2014 to 2023. A total of 55 (prior surgery: 38 AVR, 5 ARR, and 12 AoR) patients were identified and indication for reoperation included valvular stenosis, endocarditis, aneurysm, and dissection. Perioperative mortality was 10.9% (6 patients) (inpatient complications: 2 stroke, 4 bleeding event, 2 renal failure, and 21 prolonged vent).

Keywords

aorta - aortic valve - aortic root - aortic conduit - reoperative - perioperative outcomes

Note

E-Presentation on Demand at AATS Aortic Symposium 2024 (April, 2024), New York NY, USA.


Ethical Approval Statement

This study was approved by the University of Louisville; IRB 16.0210 (August 2016).




Publikationsverlauf

Eingereicht: 17. Oktober 2024

Angenommen: 19. Februar 2025

Artikel online veröffentlicht:
08. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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