Outcomes after Surgical Repair of Thoracoabdominal Aortic Aneurysm with Distal Aortic Dissection:DeBakey Type Ⅰ versus Type Ⅲ.
10.3881/j.issn.1000-503X.11339
- Author:
Mingxing MA
1
;
Qian CHANG
1
;
Cuntao YU
1
;
Chang SHU
1
;
Xiangyang QIAN
1
;
Xiaogang SUN
1
;
Qiong MA
1
;
Bo WEI
1
;
Xiaopeng HU
1
Author Information
1. Department of Cardiovascular Surgery,National Center for Cardiovascular Disease,Fuwai Hospital, CAMS and PUMC,Beijing 100037,China.
- Publication Type:Journal Article
- Keywords:
DeBakey type Ⅲ;
DeBakey typeⅠ;
aortic dissection;
open repair;
outcomes;
reintervention;
survival;
thoracoabdominal aortic aneurysm
- MeSH:
Aneurysm, Dissecting;
Aortic Aneurysm, Thoracic;
Blood Vessel Prosthesis Implantation;
Hospital Mortality;
Humans;
Postoperative Complications;
Retrospective Studies;
Treatment Outcome
- From:
Acta Academiae Medicinae Sinicae
2020;42(3):319-326
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the early and mid-term results after surgical repair of thoracoabdominal aortic aneurysm(TAAA)in patients with DeBakey typeⅠor Ⅲ aortic dissection. The clinical data of 130 patients who underwent TAAA repair for chronic DeBakey typeⅠ(groupⅠ, =47)or type Ⅲ(group Ⅲ, =83)aortic dissections in our center between January 2009 and December 2017 were retrospectively analyzed.Early postoperative results,midterm survival,and re-interventions were compared between these two groups. The 30-day mortality rate was 6.9%(=9)in the overall cohort,with no statistic difference between groupⅠand group Ⅲ(10.6% 4.8%;=0.803, =0.370).The incidence of major adverse events(38.3% 51.8%;=2.199, =0.138),5-year actuarial survival rate [(81.7±5.9)% (87.2±4.2)%;=0.483, =0.487],and 5-year actuarial freedom from all reinterventions [(84.5±6.7)% (85.5±4.8)%;=0.010, =0.920] showed no significant differences between these two groups. The early and mid-term outcomes after surgical repair of TAAA are similar for DeBakey typeⅠ and type Ⅲ patients.However,studies with larger sample sizes are still required.
