Outcomes of Primary vs Reoperative Aortic Arch Surgery
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Reoperative surgery to replace the aortic arch is perceived as technically complex and high risk. However, this procedure is often necessary to treat primary disease or to create an endovascular landing zone for distal aortic disease. We investigated our institutional outcomes in patients who underwent reoperative open arch (RA) surgery compared with patients who underwent primary arch (PA) replacement. Methods: All adult patients who underwent open arch surgery from January 2019 to May 2023 at a single academic institution were queried for inclusion. The final cohort was 142 patients; 59 patients underwent RA surgery, and 83 patients received an open arch replacement as their index cardiac operation (PA). Results: = .969). Conclusions: In an experienced aortic center, RA replacement demonstrated similar short-term and 3-year outcomes compared with PA replacement.
Authors: Scott DeRoo, Arjune Dhanekula, Bret DeGraaff, Rachel Flodin, Anne Gray, Samhitha Koruko, Manuel De La Garza, Sara Zettervall, Matthew P. Sweet, Christopher R. Burke
Institutions: University of Washington, Cornell University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $975
OpenAlex ID: W4410495452