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The aim of this research was to compile a self-management assessment scale for patients with aortic dissection (AD). The questionnaire is useful in making the patient aware of the need for post-operative care in order to contribute to improving the outcome and quality of life.

Background We compared total arterial revascularization (TAR) versus conventional revascularization (CR) in terms of left ventricular function recovery in patients with multivessel coronary artery disease (CAD) and reduced left ventricular ejection fraction (LVEF). Methods We conducted a retrospective cohort study of 162 consecutive patients with multivessel CAD and reduced LVEF who underwent isolated coronary artery bypass grafting at our institution between January 2013 and July 2022. We assessed left ventricular function by transthoracic echocardiography at admission, before discharge, and at follow-up of 3, 6, and 12 months, using LVEF, global longitudinal peak strain, end-diastolic volume index, and end-systolic volume index. We also evaluated mitral valve regurgitation and graft patency rate at 1 year. Results The TAR group had a significantly higher increase in LVEF and global longitudinal peak strain, and a significantly lower decrease in end-diastolic volume index and end-systolic volume index than the CR group at 6 and 12 months after surgery. The TAR group also had a significantly lower degree of mitral valve regurgitation than the CR group at all-time points within 12 months after surgery. The TAR group had a significantly higher graft patency rate than the CR group at 12 months. There was no significant difference in hospital mortality or repeat revascularization between the groups. Conclusions TAR was associated with better recovery of left ventricular function than CR in patients with multivessel CAD and reduced LVEF. Further studies are needed to confirm these findings in this high-risk population. What is already known on this topic: Previous studies have shown that coronary artery bypass grafting (CABG) can improve left ventricular function in patients with ischemic cardiomyopathy and heart failure. Total arterial revascularization (TAR) has been shown to have superior long-term outcomes than conventional revascularization (CR). Limited data exist comparing TAR versus CR for left ventricular recovery in those with multivessel disease and reduced ejection fraction. What this study adds: This study compared the recovery of left ventricular function after TAR versus CR in patients with multivessel coronary artery disease and reduced ejection fraction. The results showed that TAR was associated with better recovery of left ventricular function than CR. TAR was also associated with lower degree of mitral regurgitation and higher graft patency rate than CR at 12 months after surgery. How this study might affect research, practice or policy: This study suggests that TAR may have a beneficial effect on the remodeling and contractility of the left ventricle in this patient population. TAR may be the optimal revascularization strategy for patients with multivessel CAD and reduced LVEF, as it may improve left ventricular function and overall outcomes. More studies are needed to address these issues and to provide more robust evidence for the use of TAR in this high-risk population. [ABSTRACT FROM AUTHOR]

Total neointima implantation (patch neointima technique + triple‐branched stent graft placement) has been performed in proximal aortic repair for acute type A aortic dissection (ATAAD) for more than 10 years at a center. However, there is no report on the mid‐term outcomes with a control group of the surgical procedure. Consequently, the authors aimed to evaluate the safety and efficacy of this technique in this study. Patients who underwent the total neointima implantation were classified as Group A, and those who underwent the conventional aortic root reconstruction with the "sandwich" technique and the total aortic arch replacement were classified as Group B. Furthermore, the authors described the preoperative characteristics, operative data, and patient outcomes. Group A patients experienced a shorter surgery duration, lower volumes of perioperative bleeding, and fewer red blood cell transfusions. The incidence of neurological complications was significantly reduced in Group A. All patients maintained a normal range of proximal aortic sizes after surgery. Kaplan–Meier analysis revealed no significant differences between the patients in the two groups regarding cumulative mortality and the incidence of moderate‐to‐severe aortic insufficiency. In well‐selected patients, total neointima implantation is an alternative procedure for the surgical repair of ATAAD. [ABSTRACT FROM AUTHOR]