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Outcomes of 3309 thoracoabdominal aortic aneurysm repairs

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1 Outcomes of 3309 thoracoabdominal aortic aneurysm repairs
Joseph S. Coselli, MD, Scott A. LeMaire, MD, Ourania Preventza, MD, Kim I. de la Cruz, MD, Denton A. Cooley, MD, Matt D. Price, MS, Alan P. Stolz, MEd, Susan Y. Green, MPH, Courtney N. Arredondo, MSPH, Todd K. Rosengart, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 151, Issue 5, Pages (May 2016) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Drawing illustrating the Crawford extents of thoracoabdominal aortic aneurysm (TAAA) repair. Extent I repairs involve most or all of the descending thoracic aorta and the upper abdominal aorta. Extent II repairs involve the same segments as extent I repairs but also extend into the infrarenal abdominal aorta. Extent III repairs involve a combination of the distal half, or less, of the descending thoracic aorta (beginning below the sixth rib) and varying portions of the abdominal aorta. Extent IV repairs involve the abdominal aorta below the diaphragm. Used with permission of Baylor College of Medicine. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Graph depicting the number of TAAA repairs, stratified by Crawford extent, performed between January 1991 and December Two repairs, 1 performed in October 1986 and the other in April 1990, are not shown. TAAA, Thoracoabdominal aortic aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Kaplan–Meier curves of estimated survival (A) after 3309 TAAA repairs and (B) freedom from repair failure in 3060 early survivors. Survival was stratified by aortic dissection versus degenerative aneurysm without dissection (C). When we corrected for age (mean age, 64.6 years) by using a Cox regression model in analyzing survival after repair of aortic dissection versus degenerative aneurysm without dissection, (D) a survival advantage for patients with aortic dissection remained statistically significant (P = .004). Confidence intervals (95%) are shown in parentheses. TAAA, Thoracoabdominal aortic aneurysm. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 Outcomes of TAAA repair differ by Crawford extent.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions


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