Hybrid Treatment with Complete Transposition of Supra-Aortic Trunks versus Conventional Surgery for the Treatment of Aortic Arch Aneurysm.

Autor:	Souza LO; Hospital Márcio Cunha, Ipatinga, MG, Brazil., Bernardes RC; Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Navarro TP; Faculdade de Medicina da Universidade Federal de Minas Gerais (FM-UFMG), Belo Horizonte, MG, Brazil., Procópio RJ; Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG), Belo Horizonte, MG, Brazil., Reis FAR Filho; Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Lima LCM; Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Silveira ELD; Hospital Madre Teresa, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2017 Sep-Oct; Vol. 32 (5), pp. 354-360.
DOI:	10.21470/1678-9741-2017-0052
Abstrakt:	Objective: The disease of the aortic arch is traditionally approached by open surgical repair requiring cardiopulmonary bypass and circulatory arrest. This study performed a retrospective analysis comparing outcomes through primary hybrid patients submitted to aortic arch surgery without cardiopulmonary bypass with patients submitted to conventional open surgery. Methods: 25 patients submitted to the aortic arch surgery were selected in the period 2003-2012 at the Madre Teresa Hospital in the city of Belo Horizonte, Brazil; 13 of these underwent hybrid technique without cardiopulmonary bypass and 12 underwent conventional open surgery. Results: The mortality rate for the hybrid group was 23% and for the conventional surgery group was 17% (P=0.248). The postoperative complication rate was also similar in both groups, with no significant difference. Conclusion: Both techniques proved to be similar in mortality and morbidity. However, due to the small sample, more analytical studies with larger samples and long-term follow-up are needed to clarify this issue.
Databáze:	MEDLINE
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