{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:34:10Z","timestamp":1779910450751,"version":"3.53.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To evaluate the impact of previous cardiac surgery (PCS) on clinical outcomes after reoperative extended arch repair for acute type A aortic dissection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This study included 37 acute type A aortic dissection patients with PCS (PCS group) and 992 without PCS (no-PCS group). Propensity score-matching yielded a subgroup of 36 pairs (1:1). In-hospital outcomes and mid-term survival were compared between the 2 groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The PCS group was older (56.7\u2009\u00b1\u200914.2 vs 52.2\u2009\u00b1\u200912.6\u2009years, P\u2009=\u20090.036) and underwent a longer cardiopulmonary bypass (median, 212 vs 183\u2009min, P\u2009&amp;lt;\u20090.001) compared with the no-PCS group. Operative death occurred in 88 (8.6%) patients, exhibiting no significant difference between groups (13.5% vs 8.4%, P\u2009=\u20090.237). Major postoperative morbidity was observed in 431 (41.9%) patients, also showing no difference between groups (45.9% vs 41.7%, P\u2009=\u20090.615). Moreover, the multivariable logistic regression analysis revealed that PCS was not significantly associated with operative mortality (adjusted odds ratio 2.58, 95% confidence interval 0.91\u20137.29, P\u2009=\u20090.075) or major morbidity (adjusted odds ratio 1.92, 95% confidence interval 0.88\u20134.18, P\u2009=\u20090.101). The 3-year cumulative survival rates were 71.1% for the PCS group and 83.9% for the no-PCS group (log-rank P\u2009=\u20090.071). Additionally, Cox regression indicated that PCS was not significantly associated with midterm mortality (adjusted hazard ratio 1.40, 95% confidence interval 0.44\u20134.41, P\u2009=\u20090.566). After matching, no significant differences were found between groups in terms of operative mortality (P\u2009&amp;gt;\u20090.999), major morbidity (P\u2009&amp;gt;\u20090.999) and midterm survival (P\u2009=\u20090.564).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>No significant differences were found between acute type A aortic dissection patients with PCS and those without PCS regarding in-hospital outcomes and midterm survival after extended arch repair.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae266","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T08:03:35Z","timestamp":1720253015000},"source":"Crossref","is-referenced-by-count":3,"title":["Reoperative extended arch repair for acute type A aortic dissection after previous cardiac surgery: insights from a relatively young redo series"],"prefix":"10.1093","volume":"66","author":[{"given":"Yixiao","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangyu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University , Shanghai, 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