{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:43:43Z","timestamp":1785257023202,"version":"3.55.0"},"reference-count":21,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>We retrospectively evaluated early and intermediate outcomes of aortic arch surgery in patients with type A acute aortic dissection (AAD), investigating the effect of arch surgery extension on postoperative results.<\/jats:p>\n        <jats:p>From January 2006 through July 2013, 201 patients with type A AAD underwent urgent corrective surgery at our institution. Of the 92 patients chosen for this study, 59 underwent hemiarch replacement (hemiarch group), and 33 underwent total arch replacement (total arch group) in conjunction with ascending aorta replacement.<\/jats:p>\n        <jats:p>The operative mortality rate was 22%. Total arch replacement was associated with a 33% risk of operative death, versus 15% for hemiarch (<jats:italic>P<\/jats:italic>=0.044). Multivariable analysis found these independent predictors of operative death: age (odds ratio [OR]=1.13\/yr; 95% confidence interval [CI], 1.04\u20131.23; <jats:italic>P<\/jats:italic>=0.002), body mass index &gt;30 kg\/m<jats:sup>2<\/jats:sup> (OR=9.9; 95% CI, 1.28\u201319; <jats:italic>P<\/jats:italic>=0.028), postoperative low cardiac output (OR=10.6; 95% CI, 1.18\u201325; <jats:italic>P<\/jats:italic>=0.035), and total arch replacement (OR=8.8; 95% CI, 1.39\u201315; <jats:italic>P<\/jats:italic>=0.021) The mean overall 5-year survival rate was 59.3% \u00b1 5.5%, and mean 5-year freedom from distal reintervention was 95.4% \u00b1 3.2% (<jats:italic>P<\/jats:italic>=NS).<\/jats:p>\n        <jats:p>In type A AAD, aortic arch surgery is still associated with high operative mortality rates; hemiarch replacement can be performed more safely than total arch replacement. Rates of distal aortic reoperation were not different between the 2 surgical strategies.<\/jats:p>","DOI":"10.14503\/thij-15-5379","type":"journal-article","created":{"date-parts":[[2016,12,16]],"date-time":"2016-12-16T23:13:42Z","timestamp":1481930022000},"page":"488-495","source":"Crossref","is-referenced-by-count":50,"title":["Total Arch versus Hemiarch Replacement for Type A Acute Aortic Dissection: A Single-Center Experience"],"prefix":"10.14503","volume":"43","author":[{"given":"Antonio","family":"Lio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Nicol\u00f2","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Bovio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Serrao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Zeitani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Scafuri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Chiariello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Ruvolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"7","key":"i1526-6702-43-6-488-b1","series-title":"JAMA","first-page":"897","article-title":"The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease","volume":"283","year":"2000","unstructured":"Hagan\n              PG\n            , NienaberCA, IsselbacherEM, BruckmanD, KaraviteDJ, RussmanPL, \n          et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA2000;283(7):897\u2013903."},{"issue":"1","key":"i1526-6702-43-6-488-b2","series-title":"J Thorac Cardiovasc Surg","first-page":"112","article-title":"Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience","volume":"129","year":"2005","unstructured":"Trimarchi\n              S\n            , NienaberCA, RampoldiV, MyrmelT, SuzukiT, MehtaRH, \n          et al. Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg2005;129(1):112\u201322."},{"issue":"2","key":"i1526-6702-43-6-488-b3","series-title":"Eur J Cardiothorac Surg","first-page":"435","article-title":"Outcome after surgery for acute aortic dissection type A in patients over 70 years: data analysis from the German Registry for Acute Aortic Dissection Type A (GERAADA)","volume":"40","year":"2011","unstructured":"Rylski\n              B\n            , SuedkampM, BeyersdorfF, NitschB, HoffmannI, BlettnerM, WeigangE.\n          Outcome after surgery for acute aortic dissection type A in patients over 70 years: data analysis from the German Registry for Acute Aortic Dissection Type A (GERAADA). Eur J Cardiothorac Surg2011;40(2):435\u201340."},{"issue":"3","key":"i1526-6702-43-6-488-b4","series-title":"J Thorac Cardiovasc Surg","first-page":"558","article-title":"Extended total arch replacement for acute type A aortic dissection: experience with seventy patients","volume":"119","year":"2000","unstructured":"Kazui\n              T\n            , WashiyamaN, MuhammadBA, TeradaH, YamashitaK, TakinamiM, TamiyaY.\n          Extended total arch replacement for acute type A aortic dissection: experience with seventy patients. J Thorac Cardiovasc Surg2000;119(3):558\u201365."},{"issue":"6","key":"i1526-6702-43-6-488-b5","series-title":"J Thorac Cardiovasc Surg","first-page":"1358","article-title":"Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: experience with 107 patients","volume":"138","year":"2009","unstructured":"Sun\n              LZ\n            , QiRD, ChangQ, ZhuJM, LiuYM, YuCT, \n          et al. Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: experience with 107 patients. J Thorac Cardiovasc Surg2009;138(6):1358\u201362."},{"issue":"3","key":"i1526-6702-43-6-488-b6","series-title":"Ann Thorac Surg","first-page":"773","article-title":"Operative strategy for acute type A aortic dissection: ascending aortic or hemiarch versus total arch replacement with frozen elephant trunk","volume":"87","year":"2009","unstructured":"Uchida\n              N\n            , ShibamuraH, KatayamaA, ShimadaN, SutohM, IshiharaH.\n          Operative strategy for acute type A aortic dissection: ascending aortic or hemiarch versus total arch replacement with frozen elephant trunk. 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Ann Thorac Surg2002;73(2):450\u20134."},{"issue":"2","key":"i1526-6702-43-6-488-b9","series-title":"Ann Thorac Surg","first-page":"525","article-title":"Is extended aortic replacement in acute type A dissection justifiable?","volume":"75","year":"2003","unstructured":"Urbanski\n              PP\n            , SiebelA, ZacherM, HackerRW.\n          Is extended aortic replacement in acute type A dissection justifiable?\n          Ann Thorac Surg\n          2003;75(2):525\u20139."},{"issue":"5","key":"i1526-6702-43-6-488-b10","series-title":"Ann Thorac Surg","first-page":"S1853","article-title":"Surgical results of hemiarch replacement for acute type A dissection","volume":"74","year":"2002","unstructured":"Ohtsubo\n              S\n            , ItohT, TakarabeK, RikitakeK, FurukawaK, SudaH, OkazakiY.\n          Surgical results of hemiarch replacement for acute type A dissection. 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Eur J Cardiothorac Surg2005;27(4):654\u20137."},{"issue":"4","key":"i1526-6702-43-6-488-b14","series-title":"J Thorac Cardiovasc Surg","first-page":"841","article-title":"Effects of partial thrombosis on distal aorta after repair of acute DeBakey type I aortic dissection","volume":"139","year":"2010","unstructured":"Song\n              SW\n            , ChangBC, ChoBK, YiG, YounYN, LeeS, YooKJ.\n          Effects of partial thrombosis on distal aorta after repair of acute DeBakey type I aortic dissection. 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J Thorac Cardiovasc Surg2014;148(6):2981\u20135."},{"issue":"3","key":"i1526-6702-43-6-488-b19","series-title":"J Thorac Cardiovasc Surg","first-page":"949","article-title":"Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair","volume":"148","year":"2014","unstructured":"Rylski\n              B\n            , BeyersdorfF, KariFA, SchlosserJ, BlankeP, SiepeM.\n          Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair. J Thorac Cardiovasc Surg2014;148(3):949\u201354."},{"issue":"4","key":"i1526-6702-43-6-488-b20","series-title":"Eur J Cardiothorac Surg","first-page":"881","article-title":"Total arch repair versus hemiarch repair in the management of acute DeBakey type I aortic dissection","volume":"40","year":"2011","unstructured":"Kim\n              JB\n            , ChungCH, MoonDH, HaGJ, LeeTY, JungSH, \n          et al. Total arch repair versus hemiarch repair in the management of acute DeBakey type I aortic dissection. Eur J Cardiothorac Surg2011;40(4):881\u20137."},{"issue":"2","key":"i1526-6702-43-6-488-b21","series-title":"Ann Thorac Surg","first-page":"482","article-title":"Antegrade thoracic stent grafting during repair of acute DeBakey I dissection prevents development of thoracoabdominal aortic aneurysms","volume":"88","year":"2009","unstructured":"Pochettino\n              A\n            , BrinkmanWT, MoellerP, SzetoWY, MoserW, CorneliusK, \n          et al. Antegrade thoracic stent grafting during repair of acute DeBakey I dissection prevents development of thoracoabdominal aortic aneurysms. Ann Thorac Surg2009;88(2):482\u201390."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/43\/6\/article-p488.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/43\/6\/488\/1879121\/thij-15-5379.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/43\/6\/article-p488.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/43\/6\/article-p488.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:33:32Z","timestamp":1730993612000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/43\/6\/article-p488.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":21,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-15-5379","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}