{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:52:17Z","timestamp":1770076337584,"version":"3.49.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to characterize the durability of aortic root reconstruction with felt neomedia for acute type A aortic dissection (ATAAD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Of 894 patients undergoing type A aortic dissection repair between 2010 and 2024 at a single institution, 537 underwent aortic root reconstruction with felt neomedia and aortic valve resuspension (median age 64 years, 37.2% female). Median follow-up was 4.3 years. Outcomes included survival, proximal aortic reintervention, greater than moderate aortic insufficiency, and root dilatation. Predictors of a composite outcome\u2014defined as proximal aortic reintervention, greater than moderate aortic insufficiency, or root dilatation \u2265 50 mm\u2014were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Preoperatively, 19.9% of patients had greater than moderate aortic insufficiency, and median root diameter was 39.0 mm. Thirty-day mortality was 12.8%, and 10-year survival was 52.3%. The cumulative incidence of proximal aortic reintervention at 1, 5, and 10 years was 0.4%, 2.4%, and 5.5%. During follow-up, 13 patients developed greater than moderate aortic insufficiency and 16 developed root dilatation \u2265 50 mm. Freedom from the composite outcome was 98.8% at 1 year and 91.9% at 5 years. On multivariable analysis, preoperative aortic insufficiency and baseline root diameter \u2265 45 mm were independent predictors of the composite outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Aortic root reconstruction with felt neomedia and aortic valve resuspension is a durable technique for ATAAD. Patients with preoperative aortic insufficiency or root dilatation are at increased risk for root-related events and warrant close surveillance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag042","type":"journal-article","created":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T12:34:20Z","timestamp":1768739660000},"source":"Crossref","is-referenced-by-count":0,"title":["Fate of the Aortic Root After Reconstruction With Felt Neomedia for Acute Type A Aortic Dissection"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1720-3504","authenticated-orcid":false,"given":"Lauren A","family":"Gillinov","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania , Philadelphia, PA 19104,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sankrit R","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania , Philadelphia, PA 19104,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra E","family":"Sperry","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania , Philadelphia, PA 19104,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Lao","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania , Philadelphia, PA 19104,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Bazianos","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania , Philadelphia, PA 19104,","place":["United 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