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. 2016 Mar 7;22(6):776–783. doi: 10.1093/icvts/ivw044

Table 2:

Anatomical findings and operative data

Variables Overall population, n = 204 Open distal, n = 109 Closed distal, n = 95 P-value
Anatomy
 Type 2 DeBakey 24 (12%) 6 (6%) 18 (19%) 0.003
 Coronary artery (ies) dissection 45 (23%) 28 (26%) 17 (18%) 0.18
 Tear identifieda 175 (88%) 95 (89%) 80 (87%) 0.69
 Tear root-ascending aorta 123 (70%) 45 (42%) 78 (85%) <0.001
 Tear arch 52 (30%) 50 (46%) 2 (2%) <0.001
 Tear not founda 24 (12%) 12 (11%) 12 (13%) 0.72
Arterial cannulationb
 Common femoral artery 147 (74%) 69 (65%) 78 (84%) 0.003
 Axillary artery 39 (20%) 26 (25%) 13 (14%) 0.06
 Other sites 6 (2%) 4 (3%) 2 (2%) 0.82
 Combined cannulation 7 (4%) 7 (7%) 0 0.03
Surgical strategies
 Open/closed distal anastomosis 109/95 109 95
 HCA time (min ± SD) 30 ± 14
 HCA temperature (°C±SD) 19 ± 4
 Antegrade cerebral perfusion 28 (26%)
 Retrograde cerebral perfusion 24 (22%)
 Aortic valve resuspension 70 (34%) 42 (39%) 28 (29%) 0.17
 Aortic valve replacement 13 (6%) 4 (3%) 9 (10%) 0.16
 Aortic root replacement 59 (29%)c 30 (28%) 29 (31%) 0.64
 Mechanical prosthesis 45 (22%) 22 (20%) 23 (24%) 0.49
 Biological prosthesis 25 (12%) 11 (10%) 14 (15%) 0.31
 Hemiarch replacement 60 (29%) 60 (55%)
 Total arch replacement 12 (6%) 12 (11%)
 Coronary artery bypass grafting 19 (9%) 11 (10%) 8 (9%) 0.68
 CPB time (min ± SD) 185 ± 85 224 ± 86 142 ± 58 <0.001
 Cross-clamp time (min ± SD) 103 ± 39 109 ± 43 95 ± 34 0.015

HCA: hypothermic circulatory arrest; SD: standard deviation; CPB: cardiopulmonary bypass.

a

Data available in 199 patients (107 open distal; 92 closed distal).

b

Data available in 199 patients (106 open distal; 93 closed distal).

c

Two patients underwent David reimplantantion procedure (one open distal, one closed distal).