Academic Journal
Long-Term Changes in the Distal Aorta after Aortic Arch Replacement in Acute DeBakey Type I Aortic Dissection
| العنوان: | Long-Term Changes in the Distal Aorta after Aortic Arch Replacement in Acute DeBakey Type I Aortic Dissection |
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| المؤلفون: | Kwangjo Cho, Jeahwa Jeong, Jongyoon Park, Sungsil Yun, Jongsu Woo |
| المصدر: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 49, Iss 4, Pp 264-272 (2016) |
| بيانات النشر: | Korean Society for Thoracic and Cardiovascular Surgery, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Aortic dissection, Surgery, Complication, Recurrence, Replacement, RD1-811 |
| الوصف: | Background: We analyzed the long-term results of ascending aortic replacement and arch aortic replacement in acute DeBakey type I aortic dissections to measure the differences in the distal aortic changes with extension of the aortic replacement. Methods: We reviewed 142 cases of acute DeBakey type I aortic dissections (1996–201 5). S eventy p ercent o f the cases were a scending aortic r eplacements, a nd 3 0% of the cases underwent total arch aortic replacement, which includes the aorta from the root to the beginning of the descending aorta with the 3 arch branches. Fourteen percent (20 cases) resulted in surgical mortality and 86% of cases that survived had a mean follow-up period of 6.6±4.6 years. Among these cases, 64% of the patients were followed up with computed tomography (CT) angiograms with the duration of the final CT check period of 4.9±2.9 years. Results: There were 15 cases of reoperation in 13 patients. Of these 15 cases, 13 cases were in the ascending aortic replacement group and 2 cases were in the total arch aortic replacement group. Late mortality occurred in 13 cases; 10 cases were in the ascending aortic replacement group and 3 cases were in the total arch aortic replacement group. Eight patients died of a distal aortic problem in t he a scending aortic r eplacement g roup, and 1 patient d ied of d istal a ortic rupture in t he t otal a rch aortic replacement group. The follow-up CT angiogram showed that 69.8% of the ascending aortic replacement group and 35.7% of the total arch aortic replacement group developed distal aortic dilatation (p=0.0022). Conclusion: The total arch aortic replacement procedure developed fewer distal remnant aortic problems from dilatation than the ascending aortic replacement procedure in acute type I aortic dissections. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Korean |
| تدمد: | 2233-601X 2093-6516 |
| Relation: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.4.264; https://doaj.org/toc/2233-601X; https://doaj.org/toc/2093-6516 |
| DOI: | 10.5090/kjtcs.2016.49.4.264 |
| URL الوصول: | https://doaj.org/article/dfffb73bc58245b49d7f9d9e37bc4aa6 |
| رقم الانضمام: | edsdoj.fffb73bc58245b49d7f9d9e37bc4aa6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 2233601X 20936516 |
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| DOI: | 10.5090/kjtcs.2016.49.4.264 |