Glossary of Abbreviations:ARR (Aortic Root Replacement), BMI (Body Mass Index), CI (Confidence Interval), ET (Elephant Trunk), HR (Hazard Ratio), OR (Odds Ratio), pRBC (packed Red Blood Cells), RCP (Retrograde Cerebral Perfusion), SACP (Selective Antegrade Cerebral Perfusion), SMD (Standard Mean Difference)
Publication stageIn Press Journal Pre-Proof
Funding: Institutional Funding
This work was presented at the 2022 Society for Thoracic Surgeons National Meeting
No relevant Disclosures.
Concomitant aortic root and arch replacement is safe, and offers comparable survival to aortic root replacement alone, while addressing more extensive aortic pathology.
Replacing the aortic arch at the time of aortic root replacement is controversial; the addition of a period of circulatory arrest may incur additional operative risk. We show that across a diverse range of pathology, and repair strategies, concomitant aortic root and arch repair is safe. Our work supports more extensive aortic replacement through the arch at the time of the index operation.
Central Picture Legend: Various aortic root and arch replacement strategies employed in this study are shown.
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