Sun's procedure for patients with acute type A aortic dissection
10.3760/cma.j.issn.1001-4497.2015.06.002
- VernacularTitle:孙氏手术治疗急性Stanford A型主动脉夹层
- Author:
Jun PAN
;
Yulong XUAN
;
Xiaofang CHEN
;
Qiang WANG
;
Qing ZHOU
;
Fudong FAN
;
Dongjin WANG
- Publication Type:Journal Article
- Keywords:
Aorta;
Aneurysm,dissection;
Cardiac surgical procedures;
Follow-up;
Sun's procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2015;31(6):325-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the early outcomes of the Sun' s procedure,which is an approach integrating total arch replacement using a 4-branched graft with implantation of a special stented graft in the descending aorta,and observe the mortality,morbidity and mid-term clinical results of postoperative in patients with acute type A aortic dissection (AAAD).Methods Clinical data of 61 consecutive AAAD patients undergoing the Sun' s procedure were analyzed.There were 53 male and 8 female,aged (54 ± 12) years.61 patients had postoperative follow-up and the clinical effect of Sun' s procedure were retrospectively analyzed.Results Cardiopulmonary bypass time was (229 ± 46) min,aortic clamping time was (147 ± 37) min and unilateral selective cerebral perfusion time was (35 ± 9) min.Reoperation for excessive bleeding in 5 cases (8.2％),acute renal failure in 3(4.9％),tracheotomy patients for pulmonary infection in 3(4.9％),and spinal cord injury in 2 (3.3％),delayed thoracic incision healing in 1 (1.6％),and osteofascial compartment syndrome of the right lower limb in 1 (1.6％).The 30 day mortality is 8.2％,and the leading causes was low cardiac output syndrome in 2(3.3％),multi-organ failure in 1 (1.6％),pulmonary infection in 1 (1.6％) and ruptured of abdominal aortic dissection in 1 (1.6％).The average follow-up time is(5.1 ± 0.7) years.Postoperative 1 year survival rate was 91.8％,5 year survival rate was 83.6％.Conclusion The Sun' s procedure has generated a relatively lower mortality rate in 61 patients with AAAD.Postoperative survival rate is high,and the reoperation rate is low.
