Blood transfusion in aortic root surgery impairs midterm survivalCentral MessagePerspective

Autor: Alex R. Dalal, MD, Albert J. Pedroza, MD, Aravind Krishnan, MD, Yan Min, MD, MS, Emily Tognozzi, PA-C, Nobu Yokoyama, MD, Ken Nakamura, MD, Olivia R. Mitchel, BS, Michael Baiocchi, PhD, Y. Joseph Woo, MD, John W. MacArthur, MD, Michael P. Fischbein, MD, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JTCVS Open, Vol 13, Iss , Pp 9-19 (2023)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2023.01.006
Popis: Objective: To evaluate the effect of perioperative allogeneic packed red blood cell (RBC) transfusion during aortic root replacement. Method: We reviewed patients undergoing aortic root replacement at our institution between March 2014 and April 2020. In total, 760 patients underwent aortic root replacement, of whom 442 (58%) received a perioperative RBC transfusion. Propensity score matching was used to account for baseline and operative differences resulting in 159 matched pairs. All-cause mortality was assessed with Kaplan–Meier curves. Data were obtained from our institutional Society of Thoracic Surgeons database and chart review. Results: After propensity score matching, the RBC-transfused and -nontransfused groups were similar for all preoperative characteristics. Cardiopulmonary bypass time, crossclamp time, and lowest operative temperature were similar between the transfused and nontransfused groups (standardized mean difference
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