Academic Journal
View in EDS

The influence of reoperation on aortic arch reconstructive surgery: Evidence from a multicenter, national registry.

Bibliographic Details
Title: The influence of reoperation on aortic arch reconstructive surgery: Evidence from a multicenter, national registry.
Authors: Qin C; Division of Cardiac Surgery, Department of Surgery, Western University, London, Ontario, Canada; Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China., Stevens LM; Division of Cardiac Surgery, University of Montreal, Montreal, Québec, Canada., Atoui R; Department of Cardiac Surgery, Health Sciences North, Sudbury, Ontario, Canada., Bittira B; Department of Cardiac Surgery, Health Sciences North, Sudbury, Ontario, Canada., Bozinovski J; Division of Cardiac Surgery, Ohio State University Wexner Medical Center, Columbus, Ohio., Boodhwani M; Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada., Chia-Ying Chung J; Division of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Dagenais F; Division of Cardiac Surgery, Institut universitaire de cardiologie et de pneumologie de Québec, Laval University, Laval, Québec, Canada., Demers P; Division of Cardiac Surgery, Department of Cardiac Surgery, Montreal Heart Institute, Montreal, Québec, Canada., Ei-Hamamsy I; Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY., Guo M; Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada., Hong J; Department of Cardiac Surgery, University of Manitoba, Winnipeg, Manitoba, Canada., Lachapelle K; Division of Cardiac Surgery, Institut universitaire de cardiologie et de pneumologie de Québec, Laval University, Laval, Québec, Canada., Moon M; Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada., Ouzounian M; Division of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Payne D; Division of Cardiac Surgery, Department of Surgery, Queen's University, Kingston, Ontario, Canada., Peterson MD; Division of Cardiothoracic Surgery, New York University Langone Medical Center, New York, NY., Chu MWA; Division of Cardiac Surgery, Department of Surgery, Western University, London, Ontario, Canada. Electronic address: michael.chu@lhsc.on.ca.
Corporate Authors: Canadian Thoracic Aortic Collaborative
Source: The Journal of thoracic and cardiovascular surgery [J Thorac Cardiovasc Surg] 2026 Aug; Vol. 172 (2), pp. 288-296.e3. Date of Electronic Publication: 2026 Mar 20.
Publication Type: Journal Article; Multicenter Study
Language: English
Journal Info: Publisher: Mosby Country of Publication: United States NLM ID: 0376343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-685X (Electronic) Linking ISSN: 00225223 NLM ISO Abbreviation: J Thorac Cardiovasc Surg Subsets: MEDLINE
Imprint Name(s): Publication: St. Louis, MO : Mosby
Original Publication: St. Louis.
MeSH Terms: Reoperation*/mortality , Reoperation*/adverse effects , Aorta, Thoracic*/surgery , Blood Vessel Prosthesis Implantation*/adverse effects , Blood Vessel Prosthesis Implantation*/mortality, Postoperative Complications/surgery ; Postoperative Complications/mortality ; Postoperative Complications/epidemiology ; Humans ; Registries ; Female ; Male ; Aged ; Risk Factors ; Middle Aged ; Hospital Mortality ; Treatment Outcome
Abstract: Objective: To analyze the in-hospital outcomes of patients undergoing reoperative aortic arch repair and identify risk factors for mortality and morbidity using data from a multicenter, national registry.
Methods: We collected data on patients undergoing aortic arch repair (hemiarch or total arch replacement with or without elephant trunk/frozen elephant trunk) under circulatory arrest between 2002 and 2021, including those with acute aortic dissection. Patients with a history of previous open-heart surgery were defined as the redo cases (aortic-redo group and other-redo group). The primary outcomes were operative mortality and a modified Society of Thoracic Surgeons composite end point for mortality and major morbidity (MMOM). The MMOM composite end point was defined as operative mortality, stroke, dialysis-dependent renal failure, deep sternal wound infection, reoperation, and prolonged ventilation >40 hours. Blood transfusion rates were also analyzed.
Results: Overall, 374 (15%) of 2481 patients were in the redo cohort. The overall operative mortality of aortic arch reoperations was 12%. Although redo patients had a significantly higher comorbidity burden, no significant difference was identified for the operative mortality among primary, aortic-redo, and other-redo groups (9.3% vs 11% vs 14%; P = .132), and for the MMOM incidence (30% vs 34% vs 39%; P = .075). Additionally, transfusion requirements and intensive care unit/hospital stays were higher in both redo groups (P < .001). To further analyze the redo group, all patients were divided into 4 groups: Primary hemiarch group (n = 1800), primary total-arch group (n = 307), redo hemiarch group (n = 266), and redo total-arch group (n = 108). Operative mortality was significantly higher in the redo hemiarch group (P = .014). In contrast, there was no significant difference in mortality or MMOM between primary and redo total-arch groups (P > .05). Multivariable analyses identified older age, acute aortic dissection, and prolonged cardiopulmonary bypass time (log-transformed) as independent predictors of both operative mortality and MMOM in reoperative arch repair.
Conclusions: This study of a national registry demonstrated that selected aortic arch reoperations can be performed with acceptable safety. Older age, acute aortic dissection, and prolonged cardiopulmonary bypass time are associated with worse operative outcomes. Further studies are needed to optimize surgical techniques and perioperative care, in addition to selecting patients who would benefit most from reoperative open arch surgery.
(Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.)
Competing Interests: Conflict of Interest Statement Dr Chu is supported as the Ray and Margaret Elliott Chair in Surgical Innovation and has received speaker's honoraria from Medtronic, Edwards, Terumo Aortic, and Artivion. All other authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.
Contributed Indexing: Keywords: aortic arch reconstruction; mortality; outcomes; reoperation
Entry Date(s): Date Created: 20260322 Date Completed: 20260731 Latest Revision: 20260731
Update Code: 20260801
DOI: 10.1016/j.jtcvs.2026.03.572
PMID: 41865785
Database: MEDLINE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://www.doi.org/10.1016/j.jtcvs.2026.03.572?
    Name: ScienceDirect (all content) (s7799221)
    Category: fullText
    Text: View record from ScienceDirect
    MouseOverText: View record from ScienceDirect
Header DbId: cmedm
DbLabel: MEDLINE
An: 41865785
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The influence of reoperation on aortic arch reconstructive surgery: Evidence from a multicenter, national registry.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Qin+C%22&quot;&gt;Qin C&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Surgery, Western University, London, Ontario, Canada; Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Stevens+LM%22&quot;&gt;Stevens LM&lt;/searchLink&gt;; Division of Cardiac Surgery, University of Montreal, Montreal, Qu&#233;bec, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Atoui+R%22&quot;&gt;Atoui R&lt;/searchLink&gt;; Department of Cardiac Surgery, Health Sciences North, Sudbury, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Bittira+B%22&quot;&gt;Bittira B&lt;/searchLink&gt;; Department of Cardiac Surgery, Health Sciences North, Sudbury, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Bozinovski+J%22&quot;&gt;Bozinovski J&lt;/searchLink&gt;; Division of Cardiac Surgery, Ohio State University Wexner Medical Center, Columbus, Ohio.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Boodhwani+M%22&quot;&gt;Boodhwani M&lt;/searchLink&gt;; Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Chia-Ying+Chung+J%22&quot;&gt;Chia-Ying Chung J&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Dagenais+F%22&quot;&gt;Dagenais F&lt;/searchLink&gt;; Division of Cardiac Surgery, Institut universitaire de cardiologie et de pneumologie de Qu&#233;bec, Laval University, Laval, Qu&#233;bec, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Demers+P%22&quot;&gt;Demers P&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Cardiac Surgery, Montreal Heart Institute, Montreal, Qu&#233;bec, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Ei-Hamamsy+I%22&quot;&gt;Ei-Hamamsy I&lt;/searchLink&gt;; Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Guo+M%22&quot;&gt;Guo M&lt;/searchLink&gt;; Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Hong+J%22&quot;&gt;Hong J&lt;/searchLink&gt;; Department of Cardiac Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Lachapelle+K%22&quot;&gt;Lachapelle K&lt;/searchLink&gt;; Division of Cardiac Surgery, Institut universitaire de cardiologie et de pneumologie de Qu&#233;bec, Laval University, Laval, Qu&#233;bec, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Moon+M%22&quot;&gt;Moon M&lt;/searchLink&gt;; Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Ouzounian+M%22&quot;&gt;Ouzounian M&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Payne+D%22&quot;&gt;Payne D&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Surgery, Queen&#39;s University, Kingston, Ontario, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Peterson+MD%22&quot;&gt;Peterson MD&lt;/searchLink&gt;; Division of Cardiothoracic Surgery, New York University Langone Medical Center, New York, NY.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Chu+MWA%22&quot;&gt;Chu MWA&lt;/searchLink&gt;; Division of Cardiac Surgery, Department of Surgery, Western University, London, Ontario, Canada. Electronic address: michael.chu@lhsc.on.ca.
– Name: AuthorCorporate
  Label: Corporate Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;CA&quot; term=&quot;%22Canadian+Thoracic+Aortic+Collaborative%22&quot;&gt;Canadian Thoracic Aortic Collaborative&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%220376343%22&quot;&gt;The Journal of thoracic and cardiovascular surgery&lt;/searchLink&gt; [J Thorac Cardiovasc Surg] 2026 Aug; Vol. 172 (2), pp. 288-296.e3. &lt;i&gt;Date of Electronic Publication: &lt;/i&gt;2026 Mar 20.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article; Multicenter Study
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: &lt;i&gt;Publisher: &lt;/i&gt;&lt;searchLink fieldCode=&quot;PB&quot; term=&quot;%22Mosby%22&quot;&gt;Mosby &lt;/searchLink&gt;&lt;i&gt;Country of Publication: &lt;/i&gt;United States &lt;i&gt;NLM ID: &lt;/i&gt;0376343 &lt;i&gt;Publication Model: &lt;/i&gt;Print-Electronic &lt;i&gt;Cited Medium: &lt;/i&gt;Internet &lt;i&gt;ISSN: &lt;/i&gt;1097-685X (Electronic) &lt;i&gt;Linking ISSN: &lt;/i&gt;&lt;searchLink fieldCode=&quot;IS&quot; term=&quot;%2200225223%22&quot;&gt;00225223 &lt;/searchLink&gt;&lt;i&gt;NLM ISO Abbreviation: &lt;/i&gt;J Thorac Cardiovasc Surg &lt;i&gt;Subsets: &lt;/i&gt;MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: &lt;i&gt;Publication&lt;/i&gt;: St. Louis, MO : Mosby&lt;br /&gt;&lt;i&gt;Original Publication&lt;/i&gt;: St. Louis.
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Reoperation%22&quot;&gt;Reoperation*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Reoperation+mortality%22&quot;&gt;mortality&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Reoperation%22&quot;&gt;Reoperation*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Reoperation+adverse+effects%22&quot;&gt;adverse effects&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Aorta%2C+Thoracic%22&quot;&gt;Aorta, Thoracic*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Aorta%2C+Thoracic+surgery%22&quot;&gt;surgery&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Blood+Vessel+Prosthesis+Implantation%22&quot;&gt;Blood Vessel Prosthesis Implantation*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Blood+Vessel+Prosthesis+Implantation+adverse+effects%22&quot;&gt;adverse effects&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Blood+Vessel+Prosthesis+Implantation%22&quot;&gt;Blood Vessel Prosthesis Implantation*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Blood+Vessel+Prosthesis+Implantation+mortality%22&quot;&gt;mortality&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications%22&quot;&gt;Postoperative Complications&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications+surgery%22&quot;&gt;surgery&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications%22&quot;&gt;Postoperative Complications&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications+mortality%22&quot;&gt;mortality&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications%22&quot;&gt;Postoperative Complications&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Postoperative+Complications+epidemiology%22&quot;&gt;epidemiology&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Humans%22&quot;&gt;Humans&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Registries%22&quot;&gt;Registries&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Female%22&quot;&gt;Female&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Male%22&quot;&gt;Male&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Aged%22&quot;&gt;Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Risk+Factors%22&quot;&gt;Risk Factors&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Middle+Aged%22&quot;&gt;Middle Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Hospital+Mortality%22&quot;&gt;Hospital Mortality&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Treatment+Outcome%22&quot;&gt;Treatment Outcome&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To analyze the in-hospital outcomes of patients undergoing reoperative aortic arch repair and identify risk factors for mortality and morbidity using data from a multicenter, national registry.&lt;br /&gt;Methods: We collected data on patients undergoing aortic arch repair (hemiarch or total arch replacement with or without elephant trunk/frozen elephant trunk) under circulatory arrest between 2002 and 2021, including those with acute aortic dissection. Patients with a history of previous open-heart surgery were defined as the redo cases (aortic-redo group and other-redo group). The primary outcomes were operative mortality and a modified Society of Thoracic Surgeons composite end point for mortality and major morbidity (MMOM). The MMOM composite end point was defined as operative mortality, stroke, dialysis-dependent renal failure, deep sternal wound infection, reoperation, and prolonged ventilation &amp;gt;40 hours. Blood transfusion rates were also analyzed.&lt;br /&gt;Results: Overall, 374 (15%) of 2481 patients were in the redo cohort. The overall operative mortality of aortic arch reoperations was 12%. Although redo patients had a significantly higher comorbidity burden, no significant difference was identified for the operative mortality among primary, aortic-redo, and other-redo groups (9.3% vs 11% vs 14%; P = .132), and for the MMOM incidence (30% vs 34% vs 39%; P = .075). Additionally, transfusion requirements and intensive care unit/hospital stays were higher in both redo groups (P &amp;lt; .001). To further analyze the redo group, all patients were divided into 4 groups: Primary hemiarch group (n = 1800), primary total-arch group (n = 307), redo hemiarch group (n = 266), and redo total-arch group (n = 108). Operative mortality was significantly higher in the redo hemiarch group (P = .014). In contrast, there was no significant difference in mortality or MMOM between primary and redo total-arch groups (P &amp;gt; .05). Multivariable analyses identified older age, acute aortic dissection, and prolonged cardiopulmonary bypass time (log-transformed) as independent predictors of both operative mortality and MMOM in reoperative arch repair.&lt;br /&gt;Conclusions: This study of a national registry demonstrated that selected aortic arch reoperations can be performed with acceptable safety. Older age, acute aortic dissection, and prolonged cardiopulmonary bypass time are associated with worse operative outcomes. Further studies are needed to optimize surgical techniques and perioperative care, in addition to selecting patients who would benefit most from reoperative open arch surgery.&lt;br /&gt; (Copyright &#169; 2026 The Authors. Published by Elsevier Inc. All rights reserved.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Conflict of Interest Statement Dr Chu is supported as the Ray and Margaret Elliott Chair in Surgical Innovation and has received speaker&#39;s honoraria from Medtronic, Edwards, Terumo Aortic, and Artivion. All other authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: &lt;i&gt;Keywords: &lt;/i&gt;aortic arch reconstruction; mortality; outcomes; reoperation
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: &lt;i&gt;Date Created: &lt;/i&gt;20260322 &lt;i&gt;Date Completed: &lt;/i&gt;20260731 &lt;i&gt;Latest Revision: &lt;/i&gt;20260731
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260801
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/j.jtcvs.2026.03.572
– Name: AN
  Label: PMID
  Group: ID
  Data: 41865785
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=41865785
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.jtcvs.2026.03.572
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 288
    Subjects:
      – SubjectFull: Postoperative Complications surgery
        Type: general
      – SubjectFull: Postoperative Complications mortality
        Type: general
      – SubjectFull: Postoperative Complications epidemiology
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Registries
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Aged
        Type: general
      – SubjectFull: Risk Factors
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Hospital Mortality
        Type: general
      – SubjectFull: Treatment Outcome
        Type: general
      – SubjectFull: Reoperation mortality
        Type: general
      – SubjectFull: Reoperation adverse effects
        Type: general
      – SubjectFull: Aorta, Thoracic surgery
        Type: general
      – SubjectFull: Blood Vessel Prosthesis Implantation adverse effects
        Type: general
      – SubjectFull: Blood Vessel Prosthesis Implantation mortality
        Type: general
    Titles:
      – TitleFull: The influence of reoperation on aortic arch reconstructive surgery: Evidence from a multicenter, national registry.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Qin C
      – PersonEntity:
          Name:
            NameFull: Stevens LM
      – PersonEntity:
          Name:
            NameFull: Atoui R
      – PersonEntity:
          Name:
            NameFull: Bittira B
      – PersonEntity:
          Name:
            NameFull: Bozinovski J
      – PersonEntity:
          Name:
            NameFull: Boodhwani M
      – PersonEntity:
          Name:
            NameFull: Chia-Ying Chung J
      – PersonEntity:
          Name:
            NameFull: Dagenais F
      – PersonEntity:
          Name:
            NameFull: Demers P
      – PersonEntity:
          Name:
            NameFull: Ei-Hamamsy I
      – PersonEntity:
          Name:
            NameFull: Guo M
      – PersonEntity:
          Name:
            NameFull: Hong J
      – PersonEntity:
          Name:
            NameFull: Lachapelle K
      – PersonEntity:
          Name:
            NameFull: Moon M
      – PersonEntity:
          Name:
            NameFull: Ouzounian M
      – PersonEntity:
          Name:
            NameFull: Payne D
      – PersonEntity:
          Name:
            NameFull: Peterson MD
      – PersonEntity:
          Name:
            NameFull: Chu MWA
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: 2026 Aug
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1097-685X
          Numbering:
            – Type: volume
              Value: 172
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: The Journal of thoracic and cardiovascular surgery
              Type: main
ResultId 1