General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 1, pp 118–126 | Cite as

Redo proximal thoracic aortic surgery: challenges and controversies

  • Athanasios Antoniou
  • Mohamad BashirEmail author
  • Amer Harky
  • Carmelo Di Salvo
SPECIAL EDITION Controversies in Surgery for Thoracic Aorta


Reoperations on the proximal thoracic aorta represent a challenge. The mortality rate is at least three times higher than it is for the initial surgery and the complications after such procedures occur with disappointingly high frequency, leading to substantial morbidity and delayed recovery. This article aims to present the early and the late outcomes of these kinds of operations, to identify the causes for failure of the primary surgery, to underline the critical points during the perioperative management of those patients and finally to emphasize on the rapid evolution and advent of techniques over the last few years.


Reoperation Aorta Proximal Aortic surgery 



Aortic valve


Composite valve graft


Aortic insufficiency


Left ventricle


Ejection fraction


Aortic valve replacement


Hypothermic circulatory arrest


Class of recommendation


Level of evidence


New York Heart Association


Cardiopulmonary bypass


Computed tomography


Magnetic resonance imaging


Transesophageal echocardiogram


Transthoracic echocardiogram


Thoracic endovascular aortic repair


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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Athanasios Antoniou
    • 1
  • Mohamad Bashir
    • 1
    Email author
  • Amer Harky
    • 1
    • 2
    • 3
  • Carmelo Di Salvo
    • 1
  1. 1.Department of Cardiac Surgery, Barts Heart CentreSt Bartholomew’s HospitalLondonUK
  2. 2.Cardiothoracic Surgery, Northwest deaneryMerseysideUK
  3. 3.School of MedicineCardiff UniversityCardiffUK

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