Long-term results of thoracic aortic aneurysm involving the aortic arch treated by hybrid procedure at Viet Duc University Hospital
Nội dung chính của bài viết
Tóm tắt
Treatment of thoracic aortic diseases remains a major challenge for cardiovascular surgeons, especially in the ascending aorta and aortic arch. This study aims to evaluate long-term outcomes, exploring risk factors of mortality and complications in thoracic aortic aneurysm treated by hybrid procedure. This is a retrospective and prospective descriptive study from the hospital database at Viet Duc hospital University, which includes patients diagnosed with thoracic aortic aneurysm and treated with hybrid procedure from January 2014 to December 2023. 50 patients, composed of 44 males (88.0%) and 6 females (12%) were included in the analysis The mean age of the patients was 64.6 ± 10.96 years old (30 - 81). 36 patients had left thoracic pain (62.0%), 18 cases (36.0%) underwent aorto-bicarotid bypass with median sternotomy, 27 patients (54.0%) had carotid–carotid bypass with or without left subclavian artery revascularization, 5 patients (10.0%) had left subclavian artery transposition into left carotid artery. The survival estimation was 78.0% at 1 year, 73.8 at 3 years, 69.7% at 5 years and 53.4% at 7 years. Zone 0 intervention had increased risk of procedure-related mortality. At present, hybrid procedure can provide successful treatment suitable younger and older patients in Vietnamese condition.
Chi tiết bài viết
Từ khóa
Hybrid procedure, thoracic aortic aneurysm, thoracic aortic diseases
Tài liệu tham khảo
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