One-stage repair for adults aortic coarctation concomitant with cardiac diseases: ascending aorta-abdominal aorta by-pass combined with cardiac operation
10.3760/cma.j.issn.1001-4497.2018.07.005
- VernacularTitle:成人主动脉缩窄合并心脏疾病的一期外科治疗
- Author:
Yipeng GE
1
;
Chengnan LI
;
Yi YANG
;
Jianmao HONG
;
Peng CHENG
;
Shuai ZHU
;
Jun ZHENG
;
Yongmin LIU
;
Junming ZHU
;
Lizhong SUN
Author Information
1. 100029,首都医科大学附属北京安贞医院心血管外科 北京心血管疾病中心
- Keywords:
Aorta-abdominal aorta bypass;
Aortic coarctation;
Cardiac surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(7):403-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective Evaluate the surgical result of ascending aorta-abdominal aorta bypass combined with cardiac op-eration for adults aortic coarctation concomitant with cardiac diseases.Methods Between February 2009 and September 2012, total 24 consecutive patients underwent ascending aorta-abdominal aorta bypass combined with cardiac operation.Of these pa-tients, 2 patients who underwent off-pump coronary artery bypass grafting combined with ascending aorta-abdominal aorta by-pass did not required cardiopulmonary bypass.Other 22 patients underwent one stage repair under cardiopulmonary bypass. The mean artery pressure of upper-lower limb was(38.0 ±9.34)mmHg.Results There was no in-hospital mortality.The mean artery pressure of upper-lower limb was(11.44 ±2.59)mmHg.The mean cardiopulmonary bypass time was(107.27 ± 34.56) min.The mean aorta clamp time was(72.59 ±28.98)min.The mean intensive care unit stay time is(35.22 ± 50.41)h.The mean mechanical ventilation time was(19.50 ±17.64)h.2 patients required prolonged mechanical ventilation for respiratory dysfunction.Of these 2 patients, 1 patient required ECMO support for respiratory failure.Total 1 patient needed temporary continuous renal replacement therapy.No re-exploration for bleeding and gastrointestinal complications were ob-served.Aorta CTA scan was performed for all patients before discharged from hospital.The grafts were patent for all patients and no graft-related complications were observed.Conclusion Ascending aorta-abdominal aorta bypass combined with cardiac operation is a safe and effective one stage repair technique for adults aortic coarctation concomitant with cardiac diseases is a safe and effective technique.
