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

Autor: de Oliveira Souza, Leonardo, de Castro Bernardes, Rodrigo, Navarro, Túlio Pinho, Procópio, Ricardo Jayme, Reis Filho, Fernando Antônio Roquete, Lima, Luiz Claudio Moreira, da Silveira, Ernesto Lentz
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Zdroj: Brazilian Journal of Cardiovascular Surgery; Sep/Oct2017, Vol. 32 Issue 5, p354-360, 7p
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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index