Related Experiment Video

Updated: Mar 20, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.2K

Outcomes of Concomitant Total Aortic Arch Replacement with Coronary Artery Bypass Grafting

Ken Yamanaka1, Tatsuhiko Komiya, Hiroshi Tsuneyoshi

  • 1Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|May 31, 2016
PubMed

Insights

Total aortic arch replacement can be safely combined with coronary artery bypass grafting. This combined surgery does not increase mortality risk, making it a viable option for suitable patients.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Total aortic arch replacement is a complex and invasive surgical procedure.
  • Concomitant coronary artery bypass grafting may be considered in patients undergoing aortic arch repair.

Purpose of the Study:

  • To investigate patient outcomes comparing total aortic arch replacement with and without coronary artery bypass grafting.
  • To identify factors influencing long-term mortality in patients undergoing total aortic arch replacement.

Main Methods:

  • Retrospective analysis of 246 patients: 181 (total aortic arch replacement alone) and 65 (total aortic arch replacement with coronary artery bypass grafting).
  • Comparison of preoperative, operative, and postoperative factors.
  • Univariate and multivariate analyses to assess survival outcomes and identify mortality risk factors.

Main Results:

  • Longer cardiopulmonary bypass and surgical times were observed in the combined surgery group.
  • Hospital mortality rates were 3.3% (total aortic arch replacement) and 7.7% (combined surgery), with no statistically significant difference.
  • Multivariate analysis identified age, ischemic heart disease, and eGFR as mortality risk factors, but not concomitant coronary artery bypass grafting.

Conclusions:

  • Total aortic arch replacement can be performed concomitantly with coronary artery bypass grafting without increasing mortality risk.
  • Patient-specific factors, such as age and comorbidities, are crucial in determining long-term outcomes.
Abstract

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.9K
Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.4K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
440
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
571
The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
544
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
496