Perioperative determinants of mortality and morbidity in distal arch and proximal descending aortic aneurysm surgery

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dc.contributor.authorIslamoglu, F
dc.contributor.authorPosacioglu, H
dc.contributor.authorApaydin, AZ
dc.contributor.authorCalkavur, T
dc.contributor.authorYagdi, T
dc.contributor.authorAtaym, Y
dc.contributor.authorAtay, Y
dc.contributor.authorBuket, S
dc.date.accessioned2019-10-27T19:04:32Z
dc.date.available2019-10-27T19:04:32Z
dc.date.issued2004
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: The purpose of this article is to describe our experience on distal arch and proximal descending aortic aneurysm repair, and to evaluate retrospectively the determinants of mortality and morbidity. Materials/Methods: Between 1994 and 2002, 30 patients (mean age 53.4 years) underwent repair of distal arch or proximal descending aortic aneurysm approached through left thoractomy with deep hypothermic circulatory arrest. Femoro-femoral bypass was used in all patients except for four, in whom the left subclavian artery was cannulated. Retrograde cerebral perfusion was performed in 16 patients. The mean circulatory arrest time was 30.7 min. Results: Overall hospital mortality was 13.3%. Excessive blood (p = 0.008) and plasma (p = 0.009) transfusions, and coronary artery disease (p = 0.012) were correlated with mortality. The overall rate of postoperative complications was 30%. Renal failure and respiratory failure were the most frequent complications (16.7%), while the rates of stroke and transient neurological dysfunction were 6.7% and 3.3%, respectively. Age > 70 years, bypass time > 140 min, distal ischemia time > 55 min, and excessive blood or plasma transfusions were determinants of postoperative complications. Conclusions: Deep hypothermic circulatory arrest with left thoracotomy is a valid procedure with acceptable mortality rates in the management of aneurysms of distal arch and proximal descending aorta. Prolonged bypass and distal ischemia times and excessive blood transfusions are associated with increased postoperative morbidity.en_US
dc.identifier.endpageCR142en_US
dc.identifier.issn1643-3750
dc.identifier.issue4en_US
dc.identifier.pmid15039643en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageCR137en_US
dc.identifier.urihttps://hdl.handle.net/11454/38213
dc.identifier.volume10en_US
dc.identifier.wosWOS:000224832300008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt Scientific Information, Incen_US
dc.relation.ispartofMedical Science Monitoren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectleft thoracotomyen_US
dc.subjectdeep hypothermiaen_US
dc.subjectcirculatory arresten_US
dc.titlePerioperative determinants of mortality and morbidity in distal arch and proximal descending aortic aneurysm surgeryen_US
dc.typeArticleen_US

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