Suture-free technique for acute aortic type A dissection
10.3760/cma.j.cn112434-20230913-00058
- VernacularTitle:免缝合技术治疗急性A型主动脉夹层
- Author:
Xiaoyu ZHENG
1
;
Bin JIANG
;
Shigao YE
;
Wen CHEN
;
Yingchun ZHANG
;
Yongchun LIU
Author Information
1. 南宁市第一人民医院胸心血管外科，南宁 530021
- Keywords:
Acute type A aortic dissection;
Sun's Procedure;
Sutureless
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(8):459-463
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the curative effect of Sun's procedure using sutureless artificial blood vessel replacement technique on acute type A aortic dissection.Methods:Retrospective analysis was performed on 40 patients with acute type A aortic dissection who underwent Sun's procedure in The First People's Hospital of Nanning from May 2019 to April 2023. According to the surgical method, the patients were divided into sutureless group (20 cases) and traditional group (20 cases).The time of stopping circulation, cardiopulmonary bypass, recovery time, intubation time, blood loss 12 h after operation, cerebral infarction and acute renal failure were compared between the two groups.Patients older than 70 years, patients with preoperative malperfusion syndrome, or patients who did not undergo Sun's procedure were excluded.Results:The time of stopping circulation[( 13.6±3.3)min vs. ( 28.2±5.6)min, P<0.001] and the time of cardiopulmonary bypass[(116.0±34.8)min vs.(219.1±46.3 )min, P<0.001]and blood loss at 12 h after operation[( 474.5±301.0)ml vs. (422.7±389.8)ml, P<0.001] in the sutureless group were significantly lower than those in the traditional group.All patients survived and were discharged from hospital. There were no significant differences in recovery time, intubation time, cerebral infarction and acute renal failure between the two groups. Conclusion:Sutureless artificial blood vessel replacement technique can significantly shorten the time of stopping circulation and cardiopulmonary bypass, effectively protect the function of the whole body organs, and reduce the occurrence of postoperative complications.Moreover, it is easy to carry out in primary hospitals, and it is a safe and effective new surgical strategy for treating acute type A aortic dissection with Sun's surgery.
