Journal article

Are more extensive procedures warranted at the time of aortic arch reoperation?

Jeremy SY Wong, Melissa GY Lee, Johann Brink, Igor E Konstantinov, Christian P Brizard, Yves d'Udekem

European Journal of Cardio-Thoracic Surgery | OXFORD UNIV PRESS INC | Published : 2017

Abstract

OBJECTIVES: To determine the early and late outcomes of patients undergoing aortic arch reoperations. METHODS: The follow-up of 70 patients undergoing a second arch operation (excluding univentricular physiology) between 1979 and 2015 was reviewed. Median age at initial arch operation and second operation was 9 days (interquartile range: 5-35) and 10 months (interquartile range: 3-64), respectively. The most common indication for initial arch operation was coarctation in 79% (55/70). The most common indication for a second arch operation was arch reobstruction in 90% (63/70). RESULTS: There were 2 hospital deaths (2/70, 3%) and 3 early third arch operations (3/70, 4%). Late follow-up was ava..

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Grants

Awarded by National Health and Medical Research Council Medical Research Postgraduate Scholarship


Awarded by National Heart Foundation Health Professional Scholarship - The Noel and Imelda Foster Research Award


Awarded by National Health and Medical Research Council


Funding Acknowledgements

This work was supported by the Victorian Government's Operational Infrastructure Support Program. Melissa Lee was supported by a National Health and Medical Research Council Medical Research Postgraduate Scholarship (1134274), a National Heart Foundation Health Professional Scholarship supported by The Noel and Imelda Foster Research Award (100681), and an Australian Government Research Training Program Scholarship. Yves d'Udekem is a National Health and Medical Research Council Clinician Practitioner Fellow (1082186).