What’s the Risk of Adding Aortic Replacement to Cardiac Surgery? (Video)

Answering a key question as multicomponent operations proliferate

Dr. Roselli

Experienced cardiovascular surgery centers are seeing more and more patients who require multicomponent operations involving their valves, coronary arteries, arrhythmias and more.

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This includes many patients whose clinical picture includes a dilated ascending aorta or an aortic aneurysm associated with these other problems, prompting the question: Does adding aortic replacement to cardiac operations increase surgical risk?

To address this question, a team of cardiothoracic surgeons including Eric E. Roselli, MD, analyzed a series of 14,294 patients undergoing elective cardiac surgery at Cleveland Clinic over a recent five-year period, including 1,677 whose operations included aortic replacement.

Dr. Roselli presented their findings at the recent annual meeting of the American Association for Thoracic Surgery in Baltimore. In this video, he briefly explains the three propensity score matching analyses the team conducted to answer the question, and he shares their findings on the safety and advisability of including aortic replacement in multicomponent operations.

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