[Is emergency aortic root replacement combined with arch replacement safe?].

M. Kamada, Shunsuke Kawamoto, Naotaka Motoyoshi, Y. Saiki, K. Oda, J. Akasaka, Y. Nitta, H. Akimoto, K. Tabayashi

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)347-352; discuaaion 352-356
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume65
Issue number5
Publication statusPublished - 2012 May

ASJC Scopus subject areas

  • Medicine(all)

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