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Updated: Oct 15, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Published on: March 28, 2025

Open aortic arch surgery: 10 years' single-center experience.

Radosław Gocoł¹, Jarosław Bis^1,2, Damian Hudziak¹

¹Department of Cardiac Surgery, Upper-Silesian Medical Center of the Medical University of Silesia, Katowice, Poland.

Kardiochirurgia I Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery

|October 27, 2021

Summary

Open aortic arch surgery outcomes improved after the initial learning curve. The 10-year review shows reduced stroke incidence and increased 5-year survival rates in later years.

Keywords:

aortic arch aneurysm hemiarch replacement total arch replacement

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Published on: May 21, 2017

Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Aortic Surgery

Background:

Open aortic arch surgery is a complex cardiac procedure.
Evaluating long-term outcomes is crucial for improving patient care.
Assessing outcomes after a learning curve is essential for surgical centers.

Purpose of the Study:

To review 10-year outcomes of elective aortic arch aneurysm surgery.
To compare early outcomes between the first and second 5-year periods.
To identify improvements in morbidity and mortality over time.

Main Methods:

Retrospective analysis of 86 elective aortic arch surgeries (2010-2020).
Patients divided into two groups based on 5-year intervals (Group A: first 5 years, Group B: second 5 years).
Comparison of baseline characteristics, surgical scope, operative/postoperative data, morbidity, and mortality.

Main Results:

Group B had fewer hemiarch procedures (34% vs. 68%) and lower stroke incidence (8.2% vs. 20%) compared to Group A.
Five-year survival was significantly higher in Group B (81%) versus Group A (60%).
These differences suggest improved outcomes with accumulated experience.

Conclusions:

Open aortic arch surgery demonstrates acceptable early mortality post-learning curve.
The procedure is associated with a low incidence of stroke.
High 5-year survival rates are achievable with experienced surgical teams.