Effective analysis of sixty-five patients with Stanford type A aortic dissection operated under different cooling tempera
10.3760/cma.j.issn.1001-4497.2012.06.006
- VernacularTitle:65例Stanford A型主动脉夹层患者在不同温度下手术的效果分析
- Author:
Zonghong LIU
;
Weixin MENG
;
Bo SUN
;
Baichun WANG
;
Hongyu LIU
- Publication Type:Journal Article
- Keywords:
Aorta;
Aneurysm dissection,aortic;
Temperature;
Total arch replacement Stented elephant;
trunk technique
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(6):340-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To comparatively analyze effect of different cooling temperature on postoperative results of patients with Stanford type A aortic disaection underwent surgical treatment.Methods Clinical data of 65 patients with Stanford type A aortic dissection perforred aortic root shaping,ascending aorta and total aortic arch replacement combined with stented elephant trunk technique from April 2007 to March 2012 were retrospectively analyzed.According to the cooling temperature,the patients were divided into two groups:group A and group B.The cooling temperature was 20 ℃ to 24 ℃ in group A and 25 ℃ to 2.8 ℃ in group B.Extracorporeal circulation time,circulatory arrest periods,volume of postoperative drainage,ventilation time and cerebral complications incidence after operation were analyzed contrastively.Results There was significant difference between two groups about extracorporeal circulation time,circulatory arrest periods,volume of postoperative drainage,ventilationtime and transient neurological dysfunction(TND) incidence after operation.There was no significant difference between two groups in postoperative pemunent neurological dysfunction (PND),use of continuous renal replacement therapy (CRRT) and mortality.Conclusion It is safe to appropriately increase the standard of cooling temperature through operating skillfully under the circumstance of deep hypothermic circulatory arrest.It,to some extent,shortens operating time and decreases injuries on patients,time of recovery,volume of blood transfusion and complications.
