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Does preoperative dual antiplatelet therapy affect bleeding and mortality after total arch repair for acute type A dissection?

Fu-Cheng XiaoWei-Guo MaYi-Pen GeJun-Ming ZhuLi-Zhong Sun
Published in: Interactive cardiovascular and thoracic surgery (2021)
In patients with ATAAD undergoing total arch replacement and frozen elephant trunk, although preoperative DAPT led to more postoperative bleeding, it did not increase bleeding-related events nor operative mortality nor mid-term death. The results of this study imply that for patients with ATAAD, emergency surgical repair, even if as extensive as total arch repair, should not be contraindicated or delayed simply because of ongoing DAPT.
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