Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results
ABSTRACT Introduction: The objectives of this study were to investigate the main treatment strategies and long-term follow-up results of aortic dissection surgery after open-heart surgery (ADSOHS) and to analyze the risk factors that cause ADSOHS. Methods: One hundred thirty-seven patients with AD...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022-12-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005009206&tlng=en |
| _version_ | 1811212557292142592 |
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| author | Feng Gao Yipeng Ge Yongliang Zhong Xijing Zhuang Junming Zhu |
| author_facet | Feng Gao Yipeng Ge Yongliang Zhong Xijing Zhuang Junming Zhu |
| author_sort | Feng Gao |
| collection | DOAJ |
| description | ABSTRACT Introduction: The objectives of this study were to investigate the main treatment strategies and long-term follow-up results of aortic dissection surgery after open-heart surgery (ADSOHS) and to analyze the risk factors that cause ADSOHS. Methods: One hundred thirty-seven patients with ADSOHS hospitalized in our hospital from January 2009 to December 2018 were selected as the research object. Long-term follow-up results, complications, mortality, and changes of cardiac function before and after operation were used to explore the value of Sun’s operation. Results: The length of stay in intensive care unit of these 137 patients ranged from 9.5 to 623.75 hours (average of 76.41±97.29 hours), auxiliary ventilation time ranged from 6.0 to 259.83 hours (average of 46.16±55.59 hours), and hospital stay ranged from six to 85 days (average of 25.06±13.04 days). There were seven cases of postoperative low cardiac output, 18 cases of coma and stroke, and six cases of transient neurological dysfunction. A total of 33 patients died; 19 patients died during the perioperative period, 18 died during Sun’s operation and one died during other operation; and 14 patients died during follow-up (January 2021), 12 cases of Sun’s operation and two cases of other operations. Conclusion: ADSOHS treatment strategy is of high application value, and the risk of neurological complications and mortality is low. The main risk factors are postoperative low cardiac output, coma, stroke, and transient neurological dysfunction. The extracorporeal circulation time is relatively long. Short- and long-term follow-up effects are good, and it is worthy of clinical promotion. |
| first_indexed | 2024-04-12T05:31:03Z |
| format | Article |
| id | doaj.art-1fb8893c16cf4793bd8f378be32f399b |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T05:31:03Z |
| publishDate | 2022-12-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-1fb8893c16cf4793bd8f378be32f399b2022-12-22T03:46:03ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412022-12-0110.21470/1678-9741-2022-0022Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up ResultsFeng GaoYipeng GeYongliang ZhongXijing ZhuangJunming Zhuhttps://orcid.org/0000-0002-7284-5964ABSTRACT Introduction: The objectives of this study were to investigate the main treatment strategies and long-term follow-up results of aortic dissection surgery after open-heart surgery (ADSOHS) and to analyze the risk factors that cause ADSOHS. Methods: One hundred thirty-seven patients with ADSOHS hospitalized in our hospital from January 2009 to December 2018 were selected as the research object. Long-term follow-up results, complications, mortality, and changes of cardiac function before and after operation were used to explore the value of Sun’s operation. Results: The length of stay in intensive care unit of these 137 patients ranged from 9.5 to 623.75 hours (average of 76.41±97.29 hours), auxiliary ventilation time ranged from 6.0 to 259.83 hours (average of 46.16±55.59 hours), and hospital stay ranged from six to 85 days (average of 25.06±13.04 days). There were seven cases of postoperative low cardiac output, 18 cases of coma and stroke, and six cases of transient neurological dysfunction. A total of 33 patients died; 19 patients died during the perioperative period, 18 died during Sun’s operation and one died during other operation; and 14 patients died during follow-up (January 2021), 12 cases of Sun’s operation and two cases of other operations. Conclusion: ADSOHS treatment strategy is of high application value, and the risk of neurological complications and mortality is low. The main risk factors are postoperative low cardiac output, coma, stroke, and transient neurological dysfunction. The extracorporeal circulation time is relatively long. Short- and long-term follow-up effects are good, and it is worthy of clinical promotion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005009206&tlng=enCardiac OutputLowRisk FactorsAneurysmDissectingComaExtracorporeal CirculationPerioperative Period. |
| spellingShingle | Feng Gao Yipeng Ge Yongliang Zhong Xijing Zhuang Junming Zhu Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results Brazilian Journal of Cardiovascular Surgery Cardiac Output Low Risk Factors Aneurysm Dissecting Coma Extracorporeal Circulation Perioperative Period. |
| title | Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results |
| title_full | Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results |
| title_fullStr | Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results |
| title_full_unstemmed | Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results |
| title_short | Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results |
| title_sort | redo total aortic arch replacement in patients with aortic dissection after open heart surgery and long term follow up results |
| topic | Cardiac Output Low Risk Factors Aneurysm Dissecting Coma Extracorporeal Circulation Perioperative Period. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382022005009206&tlng=en |
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