We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Short-term outcomes of modified Y-graft technique in acute type a aortic dissection using the femoral artery bypass and one minute systemic circulatory arrest technique.
- Authors
Sun, Xiangfei; Zhao, Qi; Huo, Yufeng; Zhou, Jinfeng; Zhao, Fen; Liu, Yimin; Du, Yonghai; He, Songxiong; Liu, Chao; Jiang, Detian; Sun, Wenyu
- Abstract
<bold>Objective: </bold>Aortic arch replacement in acute type A aortic dissection patients remains the most challenging cardiovascular operation. Herein, we described our modified Y-graft technique using the Femoral Artery Bypass (FAB) and the One Minute Systemic Circulatory Arrest (OSCA) technique, and assessed the short-term outcomes of the patients.<bold>Methods: </bold>Between February 2015 and November 2017, 51 patients with acute type A aortic dissection underwent aortic arch replacement. Among them, 23 patients underwent FAB while 28 patients underwent both FAB and OSCA. The intraoperative data and postoperative follow-up data were recorded. The follow-up data of patients with traditional Y-graft technique were collected from previously reported studies.<bold>Results: </bold>In the FAB group, two patients died due to pulmonary infection (30-day survival rate, 91.3%), and two patients were paralyzed from the waist down. Hemodialysis was performed for five patients (21.7%) before hospital discharge. Fifteen patients (65.2%) received respiratory support for more than 2-days and eight patients (34.8%) for more than 5-days. These follow-up results were comparable or better than the patients with traditional Y-graft technique. Furthermore, compared to the FAB group, the morbidity due to neurological dysfunction and acute renal failure was significantly reduced in the FAB+OSCA group. Moreover, the respiratory support, length of postoperative stay and ICU stay were shortened.<bold>Conclusions: </bold>This study clarified the feasibility of FAB and OSCA technique in modifying Y-graft technique. The acute type A aortic dissection patients showed less surgical complications and favorable short-term outcomes after this surgery.
- Subjects
HUESCA (Spain); AORTIC dissection; FEMORAL artery; ACUTE kidney failure; THORACIC aorta; LUNG infections; BLOOD vessel prosthesis
- Publication
Journal of Cardiothoracic Surgery, 2020, Vol 15, Issue 1, p1
- ISSN
1749-8090
- Publication type
journal article
- DOI
10.1186/s13019-020-01156-5