The risk factors of Sun's procedure for acute Stanford A type aortic dissection involving aortic arch
10.3760/cma.j.issn.1001-4497.2014.09.005
- VernacularTitle:累及主动脉弓的急性Stanford A型主动脉夹层孙氏手术后院内死亡的危险因素分析
- Author:
Lei CHEN
;
Yipeng GE
;
Junming ZHU
;
Yongmin LIU
;
Wei LIU
;
Chengnan LI
;
Lizhong SUN
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
Cardiac surgical procedures;
Sun's procedure;
Mortality
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(9):532-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk factors of Sun' s procedure for acute Stanford A type aortic dissection involving aortic arch.Methods Between February 2009 to February 2012,data from 233 patients who underwent Sun' s procedure for acute Stanford type A aortic dissection involving aortic arch were collected retrospectively.All the risk factors related to mortality were analyzed by univariate statistical analysis.Significant univariate variables were entered into multiple logistic analysis.Results Total 23 patients died in the hospital and the mortality was 9.87 ％.Univariate analysis showed that age,limb ischemia,and cardiopulmonary bypass longer than 268 minutes were risk factors for mortality.After these factors were entered into multiple logistic regression analysis,multiple logistic regression showed that age(P =0.017,OR =1.062),cardiopulmonary by pass time longer than 268 minutes(P =0.001,OR =6.150) were final independent risk factors for mortality.ConclusionAge and cardiopulmonary bypass time longer than 268 minutes were final independent risk factors for mortality.Longer cardiopulmonary bypass time should be avoided.
