Results
A total of 252 patients underwent procedures for TAAD in the time
period. Sixty-five patients had aortic root replacements (PAR n=30, CVG
n=35). Between group comparisons identified a younger CVG group (50.5 vs
64.5, p<0.05) although all other covariates
were comparable. Operative parameters were comparable between the two
groups. The use of PAR did not significantly impact operative mortality
(OR 0.93, 95% CI 0.22-3.61, p=0.992), stroke (OR 2.91, 0.25 – 34.09,
p=0.395), re-operation (OR 0.91, 95% CI 0.22 – 3.62, p=0.882) or
length of stay (coef 2.33, -8.23 – 12.90, p=0.659) compared to CVG.
Five-year survival was similar between both groups (PAR 59% vs CVG
69%, p=0.153) and reoperation was negligible. Echocardiography revealed
significantly lower aortic valve gradients in the PAR group (8.69 vs
15.45 mmHg, p<0.0001), and smaller left ventricular dimensions
both at 6 weeks and 1 year follow up (p<0.05).