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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
  • 71 Downloads

Abstract

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.

Keywords

Reoperation Aorta Proximal Aortic surgery 

Abbreviations

AV

Aortic valve

CVG

Composite valve graft

AI

Aortic insufficiency

LV

Left ventricle

EF

Ejection fraction

AVR

Aortic valve replacement

HCA

Hypothermic circulatory arrest

COR

Class of recommendation

LOE

Level of evidence

NYHA

New York Heart Association

CPB

Cardiopulmonary bypass

CT

Computed tomography

MRI

Magnetic resonance imaging

TEE

Transesophageal echocardiogram

TTE

Transthoracic echocardiogram

TEVAR

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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