Character and frequency of postoperative complications at surgical treatment of arothae aneurism
Abstract
Surgeries on ascending aorta and aortic arch due to aneurysms remain the most complicated problem in cardiovascular surgery. The research presents the analysis of postoperative complications, depending on the methods of protection of the brain and the time of execution, the results of surgical treatment with reducing mortality from 28% to 3.9% are presented.
Purpose. Analysis of postoperative complications of surgical treatment of aneurysms of the arc at different stages of our surgical experience, and demonstration of general results of surgical treatment of aortic arch aneurysms.
Materials and methods. During 1994–2016, we operated 317 patients with an ascending aneurysms and arch (or just arches) of the aorta.
Conclusions. Thus, observing the general results of the work, we note that postoperative complications at stage I developed in 64% of cases operated with a reducing down to 31.7%, in the second stage and down to 20 (8.7%) at the final stage (p<0.05). Hospital mortality is 8.5%, at the first stage it was 28%, with a decrease to 17.5% at stage II and 3.9% at the final stage of work.
References
2. Martin Czerny. Re:Proximal aortic repair versus extensive aortic repair in the treatment of acute type A aortic dissection: a meta-analysis // Europ G.Cardio-Thorac Surgery. – 2016. – Vol. 49. – 1402 p.
3. Ohtsubo S., Jfah T., Takarabe K. Surgical results of hemiarch repair for acute type it dissection // Ann Thorac Surg. – 2002. – Vol. 74. – SI 853–6.
4. Outcomes after ascending aorta and proximal aortic arch repair using deep hypotermic circulatory arrest with retrograde cerebral perfusion analysis of 207 patients // Perreas K., Samanitidis Y. et al. // Inter. Cardiovascular and Thorac Surg. – 2012. – Vol. 15 (3). – P. 456–461.
5. Acute type A aortic dissection extending beyond ascending aorta limited or extensive distal repair / Rylski B., Beyersdorf F., Kori F. et al. // G. Thorac Cardiovascular Surgery. – 2014. – Vol. 148. – P. 949–54.
6. Impact of retrograde cerebral perfusion of ascending aorta and arch aneurysm repair / Safi H. J., Letsou G. V., Iliopaulos D. C. et al. // Ann Thorac Surg. – 1997. – Vol. 63. – P. 1601–1607.
7. Svenson L.G., Cranford C.C. Cardiovascular and Vascular Disease of the Aorta. – 1997. – 472 p.
8. Acite aortic dissection involving the rootine operative and long-term outcome offer curative proximal repair / Urbansky P. P., Lenos A., Jrimie V. et al. // Interactive CardioVascular and Thorac Surg. – 2016. – Vol. 22. – P. 620–626.
9. Proximal aortic repair versus eatensive aortic repair in the treatment of acute type A aortic dissection: a meta-analysis / Yan Yen, Li Xu, Heo Zherg et al. // Eur J
Cardiothorac Surg. – 2016. – Vol. 49. – P. 1392–401.
