Short- and midterm outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest.
arch reconstruction
beating heart
coronary perfusion
versus
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
19
08
2020
revised:
07
09
2020
accepted:
09
09
2020
pubmed:
1
10
2020
medline:
15
5
2021
entrez:
30
9
2020
Statut:
ppublish
Résumé
We aimed to compare the short- and midterm results of perfusion strategies used for arch reconstruction surgery. One hundred and seventy-three consecutive patients who underwent aortic arch reconstruction surgery for transverse arcus hypoplasia between January 2011 and February 2020 were retrospectively analyzed. The patients were divided into two groups, as beating heart (BH) group and cardiac arrest (CA) group. The CA group comprised 60 (35%) patients and the remaining 113 (65%) patients were in the BH group. The median age of the patients was 30 (interquartile range: 18-95) days. The incidences of acute renal failure (ARF) and delayed sternal closure were higher in the CA group (p = .05, <.001, respectively). Balloon angioplasty was performed in 5 (2%) patients and reoperation was performed in 11 (6%) patients due to restenosis. There were no statistically significant differences between the two groups in terms of reoperation or reintervention rates (p = .44 and .34, respectively). Both strategies were associated with satisfactory midterm prevention of reintervention and reoperation. Given the lower incidence of ARF and delayed sternal closure in the postoperative period and similar midterm outcomes, we believe that the BH strategy is preferable.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3317-3325Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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