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| Format: | Artículo científico |
| Language: | en |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2023
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398974952010 https://www.redalyc.org/journal/3989/398974952010/ https://www.redalyc.org/journal/3989/398974952010/html/ https://www.redalyc.org/journal/3989/398974952010/398974952010.epub https://www.redalyc.org/journal/3989/398974952010/movil |
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Table of Contents:
- Redo Total Aortic Arch Replacement in Patients with Aortic Dissection After Open-Heart Surgery and Long-Term Follow-Up Results Feng Gao Yipeng Ge Yongliang Zhong Xijing Zhuang Junming Zhu Medicina Low Coma Aneurysm Dissecting Risk Factors Introduction: The objectives of this study were to investigate the main treatment strategies and long-term follow-up results of aortic dissection surgery after open-heart surgery (ADSOHS) and to analyze the risk factors that cause ADSOHS.Methods: One hundred thirty-seven patients with ADSOHS hospitalized in our hospital from January 2009 to December 2018 were selected as the research object. Long-term follow-up results, complications, mortality, and changes of cardiac function before and after operation were used to explore the value of Sun’s operation.Results: The length of stay in intensive care unit of these 137 patients ranged from 9.5 to 623.75 hours (average of 76.41±97.29 hours), auxiliary ventilation time ranged from 6.0 to 259.83 hours (average of 46.16±55.59 hours), and hospital stay ranged from six to 85 days (average of 25.06±13.04 days). There were seven cases of postoperative low cardiac output, 18 cases of coma and stroke, and six cases of transient neurological dysfunction. A total of 33 patients died; 19 patients died during the perioperative period, 18 died during Sun’s operation and one died during other operation; and 14 patients died during follow-up (January 2021), 12 cases of Sun’s operation and two cases of other operations.Conclusion: ADSOHS treatment strategy is of high application value, and the risk of neurological complications and mortality is low. The main risk factors are postoperative low cardiac output, coma, stroke, and transient neurological dysfunction. The extracorporeal circulation time is relatively long. Short- and long-term follow-up effects are good, and it is worthy of clinical promotion. 2023 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398974952010 https://www.redalyc.org/journal/3989/398974952010/ https://www.redalyc.org/journal/3989/398974952010/html/ https://www.redalyc.org/journal/3989/398974952010/398974952010.epub https://www.redalyc.org/journal/3989/398974952010/movil 10.21470/1678-9741-2022-0022 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.38