Short-and mid-term results after adventitial inversion technique for root repair in acute type A aortic dissection
10.3760/cma.j.cn112434-20210816-00273
- VernacularTitle:外膜内翻技术在急性A型主动脉夹层根部修复的短期及中远期效果
- Author:
Shuya FAN
1
;
Juntao QIU
;
Lu DAI
;
Rui ZHAO
;
Jiawei QIU
;
Hongwei GUO
;
Cuntao YU
Author Information
1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院血管外科中心，北京 100037
- Keywords:
Adventitial inversion;
Aortic root repair;
Aortic dissetion;
Cabrol-shunt
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(5):266-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness of adventitial inversion technique for root repair in patients with acute type A aortic dissection(ATAAD).Methods:Between 2015 and 2018, ATAAD patients with dissected root and underwent open surgery were included. The exclusion criteria were as follows: previous root intervention, traumatic dissection and patient underwent root replacement(Bentall or David procedure). 490 ATAAD patients were included, 366(74.69%) male and 124(25.31%) female, aged(51.28±10.99) years(range 24-77 years). The clinical data were retrospectively analyzed with ANOVA/ nonparametric test and Chi- square test. Follow-up mortality and reoperation were displayed with Kaplan- Meier curve. Results:All patients were technically divided into three groups: adventitial inversion(A), direct suture(B) and Cabrol-shunt(C). The mean age in group A was(53.05±11.09) years, whereas worse cardiac and renal function occurred in group C. The mean duration of HCA, CPB and ACC were shortest, with a highest average of minimum rectal temperature during surgical interval in group A. Postoperative complications and early mortality were similar among groups. There were no significant differences of mid-term mortality and reoperation among these three techniques. Though no late reintervention for aortic root was found in both group A and B, the root diameter was more stable in group A during follow-up period[(33.14±3.74)mm vs.(34.51±3.83)mm vs.(33.89±3.89)mm, P=0.008]. Conclusion:Adventitial inversion technique is safe and effective for root repair in patients with ATAAD, achieving satisfactory short- and mid-term effects.
