| Autor: |
M, Kamada, S, Kawamoto, N, Motoyoshi, Y, Saiki, K, Oda, J, Akasaka, Y, Nitta, H, Akimoto, K, Tabayashi |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 65(5) |
| ISSN: |
0021-5252 |
| Popis: |
Aortic root replacement (ARR) combined with aortic arch replacement (AAR) is an invasive procedure even in elective cases. Nevertheless, such combined operations are often mandatory in acute type A aortic dissection. We examined whether emergency operation might have further incremental risks compared with elective surgery in this type of operations.Forty-six cases of ARR combined with AAR were divided into 2 groups, the emergency (EM) group and the elective (EL) group. The EM group consisted of 10 cases of acute type A aortic dissection, whereas the EL group of 36:23 of chronic aortic dissection and 13 of true aneurysm.There were no statistical differences between the 2 groups in the durations of aortic crossclamp, selective cerebral perfusion and cardiopulmonary bypass. The incidences in the EM and EL groups were as follows:in-hospital death; 0 vs 3( 8%), respiratory failure; 4 (40%) vs 14 (39%), renal failure; 0 vs 6 (17%), IABP requirement; 1 (10%) vs 3 (8%), and cerebral infarction; 0 vs 1 (3%), respectively.Early surgical results of emergency ARR combined with AAR were almost equal to those in elective surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
