Evaluation of Surgical Outcomes of Type A Intramural Hematoma
| Autor: | Serdar Bayrak, Reha Topak, Ozkan Alatas, Tuğra Gençpınar, Cenk Erdal, Aytaç Gülcü |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
genetic structures RD1-811 Aortic Diseases 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Hematoma law Aneurysm Dissecting medicine.artery Ascending aorta medicine Cardiopulmonary bypass Humans Diseases of the circulatory (Cardiovascular) system Bicuspid Aorta Retrospective Studies Aortic dissection Cardiopulmonary Bypass business.industry Mortality rate General Medicine medicine.disease Prognosis Intensive care unit Connective tissue disease Surgery Aortic Dissection Intensive Care Units Treatment Outcome RC666-701 Hypertension Cardiology and Cardiovascular Medicine business |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery n.ahead 2021 Revista Brasileira de Cirurgia Cardiovascular Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery v.37 n.1 2022 Brazilian Journal of Cardiovascular Surgery Brazilian Journal of Cardiovascular Surgery (2021) |
| Popis: | Introduction: In this study, we aimed to retrospectively evaluate the results of type A intramural hematoma (TA-IMH) cases that underwent ascending aortic surgery. Methods: One hundred ninety-four patients who underwent aortic surgery between 2010 and 2018 were included in this study. TA-IMH was differentiated according to tomography angiographic images. Demographic data, operation type, hypothermic circulatory arrest times, echocardiographic findings, wall thickness of IMH, complications, and prognosis were retrospectively analyzed. Results: TA-IMH (n=14) or type A aortic dissection (AD) (n=35) data were collected from patients’ files and 49 cases were enrolled into the study. Bentall operation was performed in eight patients (type A AD = six [17.1%], TA-IMH = two [14.3%]); 41 patients underwent tubular graft interposition of ascending aorta (AD = 29 [82.9%], TA-IMH = 12 [85.7%]). There was no significant difference in terms of age, gender distribution, aortic dimensions, cardiopulmonary bypass times, hypothermic circulatory arrest times, hospital ward stay, and intensive care unit stay between the two groups. The mortality rate of AD group was 34.4% and of TA-IMH group was 14.3%. There was no significant difference in terms of mortality between the groups. In our study, 45.7% of patients had hypertension and that rate was lower than the one found in the literature. In addition, bicuspid aorta was not observed in both groups. Connective tissue disease was not detected in any group. Conclusion: Surgical treatment of aorta is beneficial for TA-IMH. Our aortic surgical indications comply with the European aortic surgical guidelines. Hypertension control should be provided aggressively. |
| Databáze: | OpenAIRE |
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