Analysis of ascending and transverse aortic arch repair in octogenarians

The Annals of Thoracic Surgery
Pallav J ShahHazim J Safi

Abstract

Increasing numbers of older patients are requiring complex thoracic aortic surgery. This retrospective study analyzed early and late outcomes after ascending and transverse arch surgery using hypothermic circulatory arrest (HCA). Between January 1991 and December 2006, 779 patients requiring HCA were treated. Outcomes are reported by age group: group 1, 80 years or more (37, 4.8%); and group 2, less than 80 years (742, 95.2%). Univariate and multivariate analyses were used to identify risk factors for morbidity and mortality. Early mortality and stroke did not differ between groups. Thirty-day mortality was13.5% (5 of 37) in group 1 and 10% (78 of 742) in group 2 (p = 0.57). Stroke occurred in 8% (3 of 37) of group 1 patients and 2.7% (20 of 742) of group 2 patients (p = 0.09). Predictors of stroke were prior stroke (p = 0.003) and pump time (p = 0.02). Predictors of early mortality were low glomerular filtration rate (p = 0.0001), long cardiopulmonary bypass time (p = 0.0001), and emergent repair (p = 0.0009). Retrograde cerebral perfusion was protective against stroke (p = 0.0001) and reduced early mortality (p = 0.02). Age was not a predictor of stroke (p = 0.12) or early mortality (p = 0.39). Survival in group 1 compared wi...Continue Reading

References

Jan 1, 1976·Nephron·D W Cockcroft, M H Gault
Aug 1, 1995·The Annals of Thoracic Surgery·C J Boeckxstaens, W J Flameng
Apr 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·C HaglR B Griepp
Jul 28, 2004·The Annals of Thoracic Surgery·Bruno ChiappiniMarc Schepens
Jan 29, 2005·The Journal of Thoracic and Cardiovascular Surgery·Anthony L EstreraHazim J Safi
Jun 29, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jayan NagendranDavid B Ross
Jan 26, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesco SantiniAlessandro Mazzucco
Jan 30, 2007·The Annals of Thoracic Surgery·Hazim J SafiAli Azizzadeh
Feb 20, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philippe KolhRaymond Limet
Feb 20, 2007·The Annals of Thoracic Surgery·Carlo AntonaLuigi Inglese
Mar 6, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christian OlssonStefan Thelin

❮ Previous
Next ❯

Citations

May 7, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul P UrbanskiAnno Diegeler
Mar 22, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ourania PreventzaJoseph S Coselli
Aug 3, 2011·Cardiology in Review·George HinesDouglas S Katz
May 19, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Kunihide NakamuraToshio Onitsuka
Sep 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Arudo HiraokaHidenori Yoshitaka
Apr 29, 2014·General Thoracic and Cardiovascular Surgery·Takeshi Shimamoto, Tatsuhiko Komiya
Oct 21, 2015·The Annals of Thoracic Surgery·Robert A SorabellaIsaac George
Dec 27, 2012·The Journal of Thoracic and Cardiovascular Surgery·Gilbert H L TangDavid Spielvogel
Sep 20, 2015·The Annals of Thoracic Surgery·Tatsuya OdaJunjiro Kobayashi
Apr 10, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Omar A JarralThanos Athanasiou
May 11, 2010·Cardiology Clinics·Anthony L Estrera, Hazim J Safi
May 11, 2010·Cardiology Clinics·Paul P UrbanskiAnno Diegeler
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Wilson Y Szeto, Joseph E Bavaria
Oct 18, 2014·Journal of the American College of Cardiology·Judith Z GoldfingerValentin Fuster
Mar 24, 2016·Journal of Cardiac Surgery·Ignacio Bibiloni LageGregorio Rábago Juan-Aracil
Sep 23, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Noriyuki TakashimaSoh Hosoba
Apr 4, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sven PeterssJohn A Elefteriades
Jun 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Ahmed Al-AdhamiShyamsunder Kolvekar
Feb 11, 2019·The Journal of Thoracic and Cardiovascular Surgery·Tomasz A Timek

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Asian Cardiovascular & Thoracic Annals
Malakh ShresthaChristian Hagl
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Thierry CausThierry Mesana
Circulation
Rajendra H MehtaInternational Registry of Acute Aortic Dissection (IRAD) Investigators
The Annals of Thoracic Surgery
Joerg Babin-Ebell, Martin Misfeld
© 2022 Meta ULC. All rights reserved