2013
Predicting the Risk for Acute Type B Aortic Dissection in Hypertensive Patients Using Anatomic Variables
Shirali AS, Bischoff MS, Lin HM, Oyfe I, Lookstein R, Griepp RB, Di Luozzo G. Predicting the Risk for Acute Type B Aortic Dissection in Hypertensive Patients Using Anatomic Variables. JACC Cardiovascular Imaging 2013, 6: 349-357. PMID: 23433926, DOI: 10.1016/j.jcmg.2012.07.018.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAdultAgedAntihypertensive AgentsAorta, ThoracicAortic AneurysmAortic DissectionAortographyBlood PressureChi-Square DistributionFemaleHumansHypertensionLinear ModelsLogistic ModelsMaleMiddle AgedMultidetector Computed TomographyMultivariate AnalysisPredictive Value of TestsPrognosisReproducibility of ResultsRetrospective StudiesRisk AssessmentRisk FactorsROC CurveConceptsAcute type B aortic dissectionType B aortic dissectionHypertensive patientsB aortic dissectionAAD developmentAortic dissectionAortic archRisk factorsAortic tortuosityAggressive medical managementPre-emptive surgeryOnly risk factorProximal ascending aortaSignificant risk factorsAortic arch diameterStepwise logistic regressionNormotensive patientsAnatomic predictorsEntire aortaMedical managementArtery originAscending aortaTomography angiographyAortic rootAortic imaging
2012
Open Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair?
Di Luozzo G, Geisbüsch S, Lin HM, Bischoff MS, Schray D, Pawale A, Griepp RB. Open Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair? The Annals Of Thoracic Surgery 2012, 95: 12-19. PMID: 22785215, DOI: 10.1016/j.athoracsur.2012.05.071.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAortic Aneurysm, ThoracicAortic DissectionBlood Vessel Prosthesis ImplantationCirculatory Arrest, Deep Hypothermia InducedFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedNew YorkRetrospective StudiesStentsSurvival RateTime FactorsTreatment OutcomeYoung AdultConceptsThoracoabdominal aortic aneurysmsEndovascular repairOpen repairStent graftingAortic aneurysmDeep hypothermic circulatory arrestPrevious aortic operationHypothermic circulatory arrestOpen surgical repairNeurologic complication rateCerebrospinal fluid drainageModality of choiceChronic dissectionAcute dissectionAortic complicationsAortic operationsDiversity of patientsYounger patientsCirculatory arrestCommon indicationComplication rateNeurologic monitoringSurgical repairEarly mortalityLinearized rateFrequency of Reoperations in Patients With Marfan Syndrome
Geisbuesch S, Schray D, Bischoff MS, Lin HM, Di Luozzo G, Griepp RB. Frequency of Reoperations in Patients With Marfan Syndrome. The Annals Of Thoracic Surgery 2012, 93: 1496-1501. PMID: 22443865, DOI: 10.1016/j.athoracsur.2011.12.068.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAneurysm, RupturedAortic Aneurysm, ThoracicAortic DissectionChildCohort StudiesElective Surgical ProceduresEmergency TreatmentFemaleFollow-Up StudiesHumansIncidenceKaplan-Meier EstimateMaleMarfan SyndromeMiddle AgedRadiographyReoperationRetrospective StudiesSex DistributionStatistics, NonparametricSurvival AnalysisTime FactorsTreatment OutcomeVascular Surgical ProceduresYoung AdultConceptsInitial emergency surgeryMarfan patientsGroup IAortic operationsEmergency surgeryInitial operationAortic segmentsElective root replacementInfrarenal aortic replacementThoracic aortic operationsGroup II patientsAortic root repairFrequency of reoperationArch operationsReoperative mortalityTotal reoperationsAcute dissectionAortic replacementOperative mortalityRoot replacementSurgical patientsThoracoabdominal aortaAortic ruptureII patientsRoot dilatationQuality of life and survival of septuagenarians and octogenarians after repair of descending and thoracoabdominal aortic aneurysms
Di Luozzo G, Shirali AS, Varghese R, Lin HM, Weiss AJ, Bischoff MS, Griepp RB. Quality of life and survival of septuagenarians and octogenarians after repair of descending and thoracoabdominal aortic aneurysms. Journal Of Thoracic And Cardiovascular Surgery 2012, 145: 378-384. PMID: 22365063, DOI: 10.1016/j.jtcvs.2012.01.068.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAortic Aneurysm, ThoracicFemaleHospital MortalityHumansKaplan-Meier EstimateLogistic ModelsMaleOdds RatioProportional Hazards ModelsQuality of LifeRespiratory Distress SyndromeRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsSurveys and QuestionnairesTime FactorsTreatment OutcomeVascular Surgical ProceduresConceptsQuality of lifeBody mass indexGender-matched populationLong-term survivalHospital mortalityMass indexThoracoabdominal aortic aneurysm repairAcute respiratory distress syndromeHigher body mass indexComplex aortic operationsOne-year survivalThoracoabdominal aortic aneurysmsAortic aneurysm repairItem Health SurveyRespiratory distress syndromeLower vitality scoresTAAA repairAortic operationsElderly patientsAneurysm repairDistress syndromePostoperative qualityRetrospective reviewThoracic aneurysmLife scores
2011
A propensity score–matched comparison of deep versus mild hypothermia during thoracoabdominal aortic surgery
Weiss AJ, Lin HM, Bischoff MS, Scheumann J, Lazala R, Griepp RB, Di Luozzo G. A propensity score–matched comparison of deep versus mild hypothermia during thoracoabdominal aortic surgery. Journal Of Thoracic And Cardiovascular Surgery 2011, 143: 186-193. PMID: 21885069, DOI: 10.1016/j.jtcvs.2011.07.020.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, ThoracicCirculatory Arrest, Deep Hypothermia InducedFemaleHeart Arrest, InducedHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesConceptsPermanent adverse outcomesThoracoabdominal aortic aneurysm repairDeep hypothermic circulatory arrestAortic aneurysm repairHypothermic circulatory arrestAdverse outcomesHypothermic circulatory arrest groupCirculatory arrest groupRenal failureLiver failureAneurysm repairCirculatory arrestArrest groupHypothermic circulatory arrest techniqueThoracoabdominal aortic aneurysm operationsPropensity score-matched analysisPropensity score-matched comparisonAortic aneurysm operationsPropensity-matched studySignificant decreased oddsThirty-day mortalityThoracoabdominal aortic surgeryAcute renal failureAdverse outcome ratesElephant trunk procedure
2010
The Bentall procedure: Is it the gold standard? A series of 597 consecutive cases
Etz CD, Bischoff MS, Bodian C, Roder F, Brenner R, Griepp RB, Di Luozzo G. The Bentall procedure: Is it the gold standard? A series of 597 consecutive cases. Journal Of Thoracic And Cardiovascular Surgery 2010, 140: s64-s70. PMID: 21092800, DOI: 10.1016/j.jtcvs.2010.07.033.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAortic AneurysmAortic ValveBioprosthesisBlood Vessel Prosthesis ImplantationChi-Square DistributionFemaleHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHospital MortalityHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedNew York CityOdds RatioProsthesis DesignReoperationRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeYoung AdultConceptsAortic root reconstructionLong-term survivalBiological valvesMechanical valvesBentall procedureRoot reconstructionOverall hospital mortalityIndependent risk factorCoronary artery diseaseShort-term outcomesLong-term outcomesChoice of valveHospital mortalityPatients 50Artery diseaseDegenerative etiologyLinearized rateAortic valveConsecutive casesRisk factorsEmergency operationGold standardReoperationPatientsSurvivalPredicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair
Zoli S, Roder F, Etz CD, Brenner RM, Bodian CA, Lin HM, Di Luozzo G, Griepp RB. Predicting the Risk of Paraplegia After Thoracic and Thoracoabdominal Aneurysm Repair. The Annals Of Thoracic Surgery 2010, 90: 1237-1245. PMID: 20868820, DOI: 10.1016/j.athoracsur.2010.04.091.Peer-Reviewed Original ResearchConceptsSpinal cord injuryRisk of paraplegiaSegmental arteriesParaplegia riskEndovascular repairAneurysm repairCord injuryThoracoabdominal aortic aneurysm repairMotor-evoked potential monitoringPrevious aortic surgeryThoracoabdominal aneurysm repairIndependent risk factorThoracoabdominal aortic aneurysmsAortic aneurysm repairStandard surgical approachCerebrospinal fluid drainageCrawford classificationHospital mortalitySCI riskAortic surgeryEmergent operationSurgical approachAortic aneurysmRisk factorsAbdominal aortaStaged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair
Etz CD, Zoli S, Mueller CS, Bodian CA, Di Luozzo G, Lazala R, Plestis KA, Griepp RB. Staged repair significantly reduces paraplegia rate after extensive thoracoabdominal aortic aneurysm repair. Journal Of Thoracic And Cardiovascular Surgery 2010, 139: 1464-1472. PMID: 20494193, DOI: 10.1016/j.jtcvs.2010.02.037.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicFemaleHumansMaleMiddle AgedParaplegiaRetrospective StudiesSpinal Cord InjuriesVascular Surgical ProceduresConceptsExtensive thoracoabdominal aortic aneurysm repairExtensive segmental artery sacrificeThoracoabdominal aortic aneurysm repairThoracoabdominal aortic aneurysmsAortic aneurysm repairSpinal cord injuryArtery sacrificeAneurysm repairCord injuryAortic aneurysmCrawford type II thoracoabdominal aortic aneurysmType II thoracoabdominal aortic aneurysmIschemic spinal cord damageChronic obstructive pulmonary diseasePermanent spinal cord injuryExtensive thoracoabdominal aortic aneurysmsCrawford type ICrawford type IIIOverall hospital mortalityPrevious cerebrovascular accidentYear of procedureHypothermic circulatory arrestObstructive pulmonary diseaseOpen surgical repairMotor-evoked potentials
2008
Reoperative aortic root and transverse arch procedures: A comparison with contemporaneous primary operations
Etz CD, Plestis KA, Homann TM, Bodian CA, Di Luozzo G, Spielvogel D, Griepp RB. Reoperative aortic root and transverse arch procedures: A comparison with contemporaneous primary operations. Journal Of Thoracic And Cardiovascular Surgery 2008, 136: 860-867.e3. PMID: 18954623, DOI: 10.1016/j.jtcvs.2007.11.071.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic Aneurysm, ThoracicAortic ValveBlood Vessel Prosthesis ImplantationCase-Control StudiesCause of DeathFollow-Up StudiesHeart Valve DiseasesHeart Valve Prosthesis ImplantationHospital MortalityHumansIntraoperative ComplicationsKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsReoperationRetrospective StudiesTreatment OutcomeConceptsArch proceduresAorta proceduresArch operationsPrimary procedureOperative mortalityRisk factorsPoor long-term outlookSex-matched normal populationChronic obstructive pulmonary diseaseAortic arch operationsHigher hospital mortalityHigh operative mortalityProximal aortic surgeryLongevity of patientsObstructive pulmonary diseaseSeparate multivariable analysesLong-term outcomesSignificant risk factorsLong-term outlookLong-term survivalContemporaneous patientsAortic surgeryHospital mortalityEjection fractionMultivariable analysis
2007
Vascular Graft Replacement of the Ascending and Descending Aorta: Do Dacron Grafts Grow?
Etz CD, Homann T, Silovitz D, Bodian CA, Luehr M, Di Luozzo G, Plestis KA, Griepp RB. Vascular Graft Replacement of the Ascending and Descending Aorta: Do Dacron Grafts Grow? The Annals Of Thoracic Surgery 2007, 84: 1206-1213. PMID: 17888971, DOI: 10.1016/j.athoracsur.2007.05.034.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAortaAorta, ThoracicAortic DiseasesBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationChildCohort StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPolyethylene TerephthalatesProbabilityProsthesis DesignProsthesis FailureReoperationRetrospective StudiesRisk AssessmentSurvival RateTreatment OutcomeConceptsDacron graftThoracic aortaGraft expansionPostoperative computed tomography scansAortic valve-sparing proceduresDevelopment of regurgitationDiseased aortic segmentMedian graft diameterRoutine postoperative surveillanceType III endoleakValve-sparing proceduresComputed tomography scanEntire thoracic aortaComputed tomography studyDacron vascular graftsVascular Dacron graftsVascular graft replacementAorta graftThoracoabdominal aneurysmsEndoluminal repairGraft replacementPostoperative surveillanceDescending AortaGraft diameterAortic segments
2004
Harmonic scalpel for pericardiectomy: novel approach to an old cardiac dilemma.
Di Luozzo G, Moussa F, Schor J, Traad E, Williams D, Carrillo R. Harmonic scalpel for pericardiectomy: novel approach to an old cardiac dilemma. The Heart Surgery Forum 2004, 7: e525-7. PMID: 15799939, DOI: 10.1532/hsf98.20041091.Peer-Reviewed Original ResearchConceptsUrgent cardiopulmonary bypassHarmonic scalpelCardiopulmonary bypassAdditional cardiac proceduresBloodless operative fieldCardiac traumaBlood transfusionMalignant arrhythmiasRetrospective reviewCardiac lacerationsExcessive bleedingCardiac proceduresDense adhesionsBlood productsPericardiectomyPatientsCalcific pericarditisOperative fieldBypassAdhesiolysisBleedingScalpelMortalityEpicardial surfacePericarditis