Should patients undergo ascending aortic replacement with concomitant cardiac surgery?
| Autor: | Mihriban Yalcin, Kaptan Derya Tayfur, Melih Ürkmez |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Aortic valve
Male medicine.medical_specialty Bentall procedure Heart Valve Diseases ascending aortic replacement Coronary Artery Disease 030204 cardiovascular system & hematology Risk Assessment Coronary artery disease 03 medical and health sciences Aortic aneurysm Blood Vessel Prosthesis Implantation 0302 clinical medicine Aortic valve replacement ascending aortic aneurysm Risk Factors Internal medicine medicine Humans Coronary Artery Bypass Aged Retrospective Studies Aged 80 and over Heart Valve Prosthesis Implantation business.industry Cardiovascular Topics General Medicine concomitant cardiac surgery Middle Aged medicine.disease mortality Surgery Cardiac surgery Aortic Aneurysm medicine.anatomical_structure Treatment Outcome 030228 respiratory system Concomitant Aortic Valve Cardiology Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Cardiovascular Journal of Africa |
| ISSN: | 1680-0745 1995-1892 |
| Popis: | Summary Aim To determine whether concomitant surgery is a predictor of mortality in patients undergoing surgery for ascending aortic aneursym. Methods Ninety-nine patients who underwent ascending aortic aneursym surgery between January 2010 and January 2015 were included in this study. Nineteen patients underwent ascending aortic replacement (RAA) only, 36 underwent aortic valve replacement (AVR) and RAA, 25 underwent coronary artery bypass grafting (CABG) and RAA, 11 underwent the Bentall procedure, and eight underwent AVR, CABG and RAA. Results Depending on the concomitant surgery performed with RAA, the mortality risk increased 2.25-fold for AVR, 4.5-fold for CABG, 10.8-fold for AVR + CABG and four-fold for the Bentall procedure, compared with RAA alone. Conclusion Concomitant cardiac surgery increased the mortality risk in patients undergoing RAA, but the difference was not statisticaly significant. Based on these study results, patients undergoing cardiac surgery, with a pre-operative ascending aortic diameter of over 45 mm, should undergo concomitant RAA. |
| Databáze: | OpenAIRE |
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