The treatment of post-operative complications after total arch reolacement for acute tvoe a aortic dissection
10.3760/cma.j.issn.1008-6315.2011.12.003
- VernacularTitle:急性主动脉夹层动脉瘤行全弓置换术后并发症的处理
- Author:
Ritai HUANG
;
Song XUE
;
Genxing XU
;
Sha LIU
;
Zhenlei HU
;
Feng LIAN
;
Bo XIE
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
Total arch replacement;
Complications
- From:
Clinical Medicine of China
2011;27(12):1237-1239
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the treatment experience of post-operative complications after total arch replacement for acute type A aortic dissection in 34 cases.Methods The subjects were 34 consecutive patients (Twenty-eight males and 6 females,age 34.0 -60.0 yrs) who received total arch replacement for acute Stanford type A aortic dissection from Jan.2005 to Oct.2010 in our hospital.The duration from the onset of the symptoms to the hospitalization ranged from 4 - 18 hrs.Pre-operative 2-D Echo revealed aortic valve regurgitation in 8 patients and mitral valve regurgitation in 1 patient.Results Three patients died after operation ( mortality 8.8％ ).Severe complications included acute kidney injury in 13 cases,respiratory dysfunction in 12 cases,paraplegia in 1 case,mental disorder in 10 cases and excessive post-operative bleeding in 2 cases.Conclusion The incidence of the complications after total arch replacement is still high and severe.Intensive care should be stressed peri-operatively and early diagnosis and treatment for post-operative complications are important procedures.
