Publications by authors named "Parth Mukund Patel"
Acute type A aortic syndromes: outcomes are independent of aortic root/valve management.
Indian J Thorac Cardiovasc Surg
March 2024
Article Synopsis
- The study analyzed clinical outcomes for different surgical techniques used to repair aortic root and valve issues in patients with acute type A aortic syndromes over a 15-year period.
- A total of 634 patients were divided into four groups based on the type of intervention, with overall early mortality at 12% and five-year survival rates ranging from 73% to 86%.
- The findings suggest that mid-term survival is not significantly impacted by the type of valve surgery performed, with valve preservation being a viable option that maintains good hemodynamic status.
There is considerable debate with regard to the optimal cerebral protection strategy during aortic arch surgery. There are three contemporary techniques in use which include straight deep hypothermic circulatory arrest (DHCA), DHCA with retrograde cerebral perfusion (DHCA + RCP), and moderate hypothermic circulatory arrest with antegrade cerebral perfusion (MHCA + ACP). Appropriate application of these methods ensures appropriate cerebral, myocardial, and visceral protection.
View Article and Find Full Text PDFAortic Arch Management During Acute and Subacute Type A Aortic Syndromes.
Ann Thorac Surg
September 2022
Background: The purpose of this study was to compare the outcomes of no arch intervention, hemiarch replacement, and total arch replacement during type A aortic syndromes in a contemporary series.
Methods: From 2004 to 2019, 634 patients have required acute type A dissection repair; these patients were divided into three groups based on type of arch intervention performed: no arch (n = 130), hemiarch (n = 397), and total arch (n = 107). The primary endpoint was mortality; a multivariable risk factor analysis was performed.
Background: We reviewed the clinical outcomes of a novel method of aortic root replacement using a self-constructed tissue valve conduit composed of a Freestyle subcoronary valve sewn into a Valsalva graft.
Methods: From 2005 to 2020, 523 patients had aortic root replacement operations using a self-constructed Freestyle subcoronary-Valsalva graft tissue valve conduit. Median patient age was 62 years (interquartile range [IQR] 54-70), and 430 (82%) were men.