Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Aortic dissection after previous cardiovascular surgery.

Hitoshi Hirose1, Lars G Svensson, Bruce W Lytle

  • 1Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic and Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

The Annals of Thoracic Surgery
|November 25, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Internal mammary artery grafting: The gold standard of coronary revascularization for 40 years and counting.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Robotic mitral valve surgery after prior sternotomy.

JTCVS techniques·2022
Same author

Myocardial Revascularization Surgery: JACC Historical Breakthroughs in Perspective.

Journal of the American College of Cardiology·2021
Same author

Long-term Outcomes of Surgery for Invasive Valvular Endocarditis Involving the Aortomitral Fibrosa.

The Annals of thoracic surgery·2019
Same author

Sex Differences in the Etiology of Surgical Mitral Valve Disease.

Circulation·2018
Same author

Aortic valve replacement after bypass surgery: surgical (SAVR) or transcatheter (TAVR).

Journal of thoracic disease·2017
Same journal

Does prior percutaneous coronary revascularization negatively affect the outcomes of subsequent coronary artery bypass grafting?

The Annals of thoracic surgery·2026
Same journal

Lymph Node Dissection and Chylothorax - Balancing Oncologic Benefit Against Morbidity.

The Annals of thoracic surgery·2026
Same journal

Preserved Antegrade Pulmonary Blood Flow in Bidirectional Glenn: Outcomes and Considerations for Staged Palliation.

The Annals of thoracic surgery·2026
Same journal

Domo Arigato, Mr. Roboto.

The Annals of thoracic surgery·2026
Same journal

Impact of High SUVmax on Recurrence by Resection Strategy in Stage IA Adenocarcinoma ≤2 cm.

The Annals of thoracic surgery·2026
Same journal

Preoperative Treatment for Stage II NSCLC Requires Multidimensional Consideration.

The Annals of thoracic surgery·2026
See all related articles

Repairing aortic dissection after prior heart surgery is feasible, offering acceptable risks and good long-term survival. Subsequent aortic reoperations are infrequent, indicating successful initial management.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Disease Management

Background:

  • Outcomes of aortic dissection repair following previous cardiovascular surgery are not well-defined.
  • This study evaluates the early and late results of reoperations for aortic dissection in patients with a history of cardiovascular surgery.

Purpose of the Study:

  • To assess the safety and efficacy of reoperations for aortic dissection in patients with prior cardiovascular surgery.
  • To determine the early and late clinical outcomes, including mortality and reoperation rates.

Main Methods:

  • A retrospective analysis of 108 patients who underwent reoperation for aortic dissection between 1990 and 2002.
  • Patients had a history of various prior cardiovascular surgeries, including coronary artery bypass grafting, valve surgery, and aortic aneurysm repair.

Related Experiment Videos

  • Surgical procedures involved ascending aorta repair, aortic valve replacement/repair, aortic root replacement, and aortic arch repair, often utilizing circulatory arrest and retrograde brain perfusion.

    • Main Results:

    • Hospital mortality was 6%, with stroke, renal failure, and respiratory failure rates of 4%, 2%, and 7%, respectively.
    • Survival rates at 7 years were 53%.
    • Freedom from subsequent aortic reoperation at 7 years was 89%.

    Conclusions:

    • Aortic dissection occurring after previous cardiovascular surgery is a rare but manageable condition.
    • Reoperation for aortic dissection in this patient cohort can be performed with acceptable operative risks.
    • Good long-term survival can be achieved, and the need for further aortic reoperations is uncommon.