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Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients With Connective Tissue Disorders  Eric E. Roselli,

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Presentation on theme: "Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients With Connective Tissue Disorders  Eric E. Roselli,"— Presentation transcript:

1 Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients With Connective Tissue Disorders  Eric E. Roselli, MD, Jay J. Idrees, MD, Ashley M. Lowry, MS, Khalil Masabni, MD, Edward G. Soltesz, MD, MPH, Douglas R. Johnston, MD, Vidyasagar Kalahasti, MD, Eugene H. Blackstone, MD, Joseph F. Sabik, MD, Bruce W. Lytle, MD, Lars G. Svensson, MD, PhD  The Annals of Thoracic Surgery  Volume 101, Issue 3, Pages (March 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomographic, operative, and postoperative images of patients with connective tissue disease undergoing distal aortic operations. (A) Preoperative image shows distal aortic dissection in a patient with Marfan syndrome. (B) Intraoperative image of thoracoabdominal repair. (C) Postoperative volume-rendered image of aorta after second-stage endovascular elephant trunk completion. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Reintervention procedures after index operation. Sixty-eight percent were open, and 32% were endovascular. (Ao = aortic; Desc = descending; Endo = endovascular; ET = elephant trunk.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Cumulative number of aortic reinterventions after index distal aortic operation. Each symbol represents a reintervention, vertical bars are actuarial 68% confidence limits equivalent to ±1 standard error, and solid line is a parametric estimate enclosed within a dashed 68% confidence band. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Competing risks representing the probability of occurrence of a first aortic reintervention or death after index distal aortic operation. Blue line represents first reintervention; red line, death before first reintervention; black line, alive without events. Each symbol represents a reintervention or death; vertical bars represent 68% confidence limits equivalent to ±1 standard error, and solid lines are parametric estimates enclosed within a dashed 68% confidence band. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Survival after index distal aortic operation. For reference, dot-dash-dot line represents survival of an age-, sex-, and race-matched US population. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions


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