title: [Surgical Outcomes of Aortic Root Repair in Type A Acute Aortic Dissection].
abstract: We carried out a retrospective evaluation of the early and long-term outcomes of aortic root reconstruction for type A acute aortic dissection. Between January 2001 and March 2015, a total of 21 patients underwent aortic root reconstruction. Bentall operation was performed in 9 patients( B group) and Patch plasty of sinus of Valsalva patients was performed in 12 patients (V group). There were 3 in-hospital deaths due in the B group and 1 death due in the V group. Overall survival in the V group was 72.9% and was not significantly different from survival in the B group(66.7%). In conclusion, our study demonstrated good early and long-term outcomes for patch plasty of sinus of Valsalva for type A acute aortic dissection. There was no postoperative patch-related complication in the V group. Thus, a patch plasty of sinus of Valsalva for type A acute aortic issection may be acceptable.
authors.affiliation: Department of Cardiovascular Surgery, Cerebro and Cardiovascular Center, Tachikawa Medical Center, Nagaoka, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Fuyuki
authors.initials: F
authors.lastname: Asami
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kimura
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mizumoto
authors.forename: Yuka
authors.initials: Y
authors.lastname: Okubo
authors.forename: Yuki
authors.initials: Y
authors.lastname: Takesue
authors.forename: Sinpei
authors.initials: S
authors.lastname: Yoshii
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000401:mortality / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged