Surgical outcomes of aortic repair via transapical cannulation and the adventitial inversion technique for acute Type A aortic dissection
| Autor: | Motoshige Yamasaki, Shin Yamamoto, Yuki Hirai, Nobukazu Moriya, Shigeru Sakurai, Takuya Fujikawa, Wataru Takayama, Soichiro Hase, Junichi Shimamura, Tomohiro Hirokami, Kensuke Ozaki, Shiro Sasaguri, Susumu Oshima, Tassei Nakagawa |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch Adult Male medicine.medical_specialty Kaplan-Meier Estimate 030204 cardiovascular system & hematology Catheterization 03 medical and health sciences Aortic aneurysm Blood Vessel Prosthesis Implantation 0302 clinical medicine Aneurysm medicine.artery Cardiac tamponade medicine Humans Cardiac Surgical Procedures Aged Retrospective Studies Aortic dissection Aged 80 and over Aortic Aneurysm Thoracic business.industry Mortality rate General Medicine Perioperative Middle Aged medicine.disease Surgery Aortic Dissection Treatment Outcome 030228 respiratory system Cardiothoracic surgery Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 54(2) |
| ISSN: | 1873-734X |
| Popis: | OBJECTIVES To evaluate the surgical outcomes of aortic repair via transapical cannulation and the adventitial inversion technique for acute Type A aortic dissection. METHODS Between 2008 and 2015, a total of 300 patients with acute Type A aortic dissection underwent emergency surgery, consisting of 271 hemiarch repairs and 29 total aortic arch replacements, using transapical cannulation and the adventitial inversion technique at a distal anastomosis. The mean follow-up periods were 31.7 ± 25.2 months. Overall, 18% (54/300) of the patients were octogenarians, and 21.7% (65/300) had cardiac tamponade; 25% (75/300) had preoperative malperfusion. RESULTS The in-hospital and 30-day mortality rates were 8.3% (25/300) and 6.7% (20/300), respectively. The 30-day mortality rate was 2.7% (6/225) among patients without preoperative malperfusion and 18.7% (14/75) among patients with malperfusion (P |
| Databáze: | OpenAIRE |
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