A Comparative Study of the Early and Short-Term Outcomes of Aortic Replacement in Patients with Stanford type A Aortic Dissection and Ascending Aortic Aneurysm.
https://doi.org/10.24017/Science.2022.2.1
Abstract views: 841 / PDF downloads: 389Abstract
Ascending aortic replacement is a challenging and complex surgery. The mortality, morbidity, and outcomes depend on the causes of the ascending aortic pathology and the type of operation. The research was conducted in a single-center, prospective, observational cohort study of patients undergoing ascending aortic replacement due to dissection or aneurysm. In the hospital, mortality, morbidity, and short-term outcomes were measured. A total of 85 patients were included in this study. Of them, 65.9% were male, and 34.1% were female. Thirty-three patients had Stanford type A aortic dissection (STAAD), whereas 52 had ascending aortic aneurysm (ASAA). Early mortality was (21.21% and 1.9%) for STAAD and ASAA, respectively, while the survival rate after one year was (75.8% and 96.15 %) for ascending dissection and aneurysm, respectively. The results of our study show higher early surgical mortality and morbidity and a lower short-term survival rate for STAAD surgery compared with ASAA surgery.
Keywords:
Aorta, Ascending Aorta, Aortic Dissection, Early Mortality and mordibity
References
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https://doi.org/10.1016/j.ccc.2007.07.002
[5] I. A. De León Ayala and Y.-F. Chen, "Acute aortic dissection: An update," The Kaohsiung Journal of Medical Sciences, vol. 28, no. 6, pp. 299-305, Jun. 2012, doi: 10.1016/j.kjms.2011.11.010.
https://doi.org/10.1016/j.kjms.2011.11.010
[6] R. S. Elsayed, R. G. Cohen, F. Fleischman, and M. E. Bowdish, "Acute Type A Aortic Dissection," Cardiology Clinics, vol. 35, no. 3, pp. 331-345, Aug. 2017, doi: 10.1016/j.ccl.2017.03.004.
https://doi.org/10.1016/j.ccl.2017.03.004
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https://doi.org/10.1016/j.emc.2011.12.001
[8] E. Saliba, Y. Sia, A. Dore, and I. El Hamamsy, "The ascending aortic aneurysm: When to intervene?" IJC Heart & Vasculature, vol. 6, pp. 91-100, Mar. 2015, doi: 10.1016/j.ijcha.2015.01.009.
https://doi.org/10.1016/j.ijcha.2015.01.009
[9] J. K. Ehrman, A. B. Fernandez, J. Myers, P. Oh, P. D. Thompson, and S. J. Keteyian, "Aortic Aneurysm," Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 40, no. 4, pp. 215-223, Jul. 2020, doi: 10.1097/hcr.0000000000000521.
https://doi.org/10.1097/HCR.0000000000000521
[10] M. J. Salameh, J. H. Black, and E. V. Ratchford, "Thoracic aortic aneurysm," Vascular Medicine, vol. 23, no. 6, pp. 573-578, Oct. 2018, doi: 10.1177/1358863x18807760.
https://doi.org/10.1177/1358863X18807760
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https://doi.org/10.1177/1753944708090830
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https://doi.org/10.1016/j.cpcardiol.2005.01.002
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https://doi.org/10.1586/erc.10.168
[15] S. Trimarchi et al., "Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience," The Journal of Thoracic and Cardiovascular Surgery, vol. 129, no. 1, pp. 112-122, Jan. 2005, doi: 10.1016/j.jtcvs.2004.09.005.
https://doi.org/10.1016/j.jtcvs.2004.09.005
[16]D. Hernandez-Vaquero et al., "Life Expectancy after Surgery for Ascending Aortic Aneurysm," Journal of Clinical Medicine, vol. 9, no. 3, p. 615, Feb. 2020, doi: 10.3390/jcm9030615.
https://doi.org/10.3390/jcm9030615
[17] B. Chiappini, M. Schepens, and E. Tan, "Early and Late Outcomes of Acute Type A Aortic Dissection: Analysis of Risk Factors in 487 Consecutive Patients," ACC Current Journal Review, vol. 14, no. 5, p. 45, May 2005, doi: 10.1016/j.accreview.2005.04.038.
https://doi.org/10.1016/j.accreview.2005.04.038
[18] Z. S. Meharwal, S. N. Khanna, A. Choudhary, M. Mishra, Y. Mehta, and N. Trehan, "Ascending Aortic Aneurysm Resection: 15 Years' Experience," Asian Cardiovascular and Thoracic Annals, vol. 14, no. 4, pp. 300-305, Aug. 2006, doi: 10.1177/021849230601400407.
https://doi.org/10.1177/021849230601400407
[19] "NIH Stroke Scale: National Institutes of Health (NIH) Stroke Scale," eMedicine, Jun. 2022, Accessed: Sep. 20, 2022. [Online]. Available: https://emedicine.medscape.com/article/2172609- overview.
[20] J. A. Lopes and S. Jorge, "The RIFLE and AKIN classifications for acute kidney injury: a critical and comprehensive review," Clinical Kidney Journal, vol. 6, no. 1, pp. 8-14, Jan. 2013, doi: 10.1093/ckj/sfs160.
https://doi.org/10.1093/ckj/sfs160
[21] R. S. McClure, S. B. Brogly, K. Lajkosz, D. Payne, S. F. Hall, and A. P. Johnson, "Epidemiology and management of thoracic aortic dissections and thoracic aortic aneurysms in Ontario, Canada: A population-based study," The Journal of Thoracic and Cardiovascular Surgery, vol. 155, no. 6, pp. 2254-2264.e4, Jun. 2018, doi: 10.1016/j.jtcvs.2017.11.105.
https://doi.org/10.1016/j.jtcvs.2017.11.105
[22] T. Gudbjartsson et al., "Acute type A aortic dissection - a review," Scandinavian Cardiovascular Journal, vol. 54, no. 1, pp. 1-13, Sep. 2019, doi: 10.1080/14017431.2019.1660401.
https://doi.org/10.1080/14017431.2019.1660401
[23] Y. Lu et al., "Management strategy of Type A Aortic Dissection in a developing center from China: 16 years experiences," Journal of Thoracic Disease, vol. 12, no. 11, pp. 6780-6788, Nov. 2020, doi: 10.21037/jtd-20-1866.
https://doi.org/10.21037/jtd-20-1866
[24] K. Kallenbach et al., "Treatment of ascending aortic aneurysms by different surgical techniques: Comparison of early and long-term results," The Thoracic and Cardiovascular Surgeon, vol. 60, no. S 01, Jan. 2012, doi: 10.1055/s-0031-1297910.
https://doi.org/10.1055/s-0031-1297910
[25] P. G. Hagan et al., "The International Registry of Acute Aortic Dissection (IRAD)," JAMA, vol. 283, no. 7, p. 897, Feb. 2000, doi: 10.1001/jama.283.7.897.
https://doi.org/10.1001/jama.283.7.897
[26] D. Pacini et al., "Acute aortic dissection: Epidemiology and outcomes," International Journal of Cardiology, vol. 167, no. 6, pp. 2806-2812, Sep. 2013, doi: 10.1016/j.ijcard.2012.07.008.
https://doi.org/10.1016/j.ijcard.2012.07.008
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[1]
E. O. Anwar, S. R. Haji Saeed, and A. B. ., “A Comparative Study of the Early and Short-Term Outcomes of Aortic Replacement in Patients with Stanford type A Aortic Dissection and Ascending Aortic Aneurysm”., KJAR, vol. 7, no. 2, pp. 1–10, Sep. 2022, doi: 10.24017/Science.2022.2.1.
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