Safe Reentry for False Aneurysm Operations in High-Risk Patients

Background In the absence of a standardized safe surgical reentry strategy for high-risk patients with large or anterior postoperative aortic false aneurysm (PAFA), we aimed to describe an effective and safe approach for such patients. Methods We prospectively analyzed patients treated for PAFA betw...

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Veröffentlicht in:	The Annals of thoracic surgery 2017-06, Vol.103 (6), p.1907-1913
Hauptverfasser:	Martinelli, Gian Luca, MD, Cotroneo, Attilio, MD, Caimmi, Philippe Primo, MD, PhD, Musica, Gabriele, MD, Barillà, David, MD, Stelian, Edmond, MD, Romano, Angelo, MD, Novelli, Eugenio, PhD, Renzi, Luca, CCP, Diena, Marco, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Aneurysm, False - diagnostic imaging Aneurysm, False - mortality Aneurysm, False - surgery Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - mortality Aortic Aneurysm - surgery Cardiothoracic Surgery Cardiovascular Surgical Procedures - methods Female Humans Kaplan-Meier Estimate Male Middle Aged Perfusion Postoperative Complications - diagnostic imaging Postoperative Complications - mortality Postoperative Complications - surgery Prospective Studies Reoperation - methods Risk Factors Surgery Tomography, X-Ray Computed
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Zusammenfassung:	Background In the absence of a standardized safe surgical reentry strategy for high-risk patients with large or anterior postoperative aortic false aneurysm (PAFA), we aimed to describe an effective and safe approach for such patients. Methods We prospectively analyzed patients treated for PAFA between 2006 and 2015. According to the preoperative computed tomography scan examination, patients were divided into two groups according to the anatomy and extension of PAFA: in group A, high-risk PAFA (diameter ≥3 cm) developed in the anterior mediastinum; in group B, low-risk PAFA (diameter
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2016.09.028