Source:http://linkedlifedata.com/resource/pubmed/id/16432112
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2006-1-24
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| pubmed:abstractText |
Surgery on the ascending aorta +/- arch is a challenge. The risks involved in such operations after previous cardiac surgery were assessed in elective and emergency settings in a single institution. Over a 10-year period, 29 patients underwent replacement of the ascending aorta +/- arch following previous cardiac surgery. In 12 patients (41.4%), the procedure was carried out on an emergency basis. Thirteen had previous replacement of the ascending aorta and 16 had previous valve replacement with or without coronary artery bypass; 4 patients were undergoing a 3rd cardiac operation. Concomitant procedures included coronary artery bypass in 2, arch replacement in 4, and descending aortic replacement in one. The overall in-hospital mortality was 13.8% (4/29) vs. 12.4% (33/267) in primary procedures. Mortality in elective repeat surgery was 5.9% (1/17) vs. 25% (3/12) in emergency re-operations. The incidences of permanent stroke (3.4%) and renal failure (3.4%) were similar to first-time operations. Elective re-operation for ascending aorta +/- arch repair can be accomplished with acceptable mortality and morbidity. Outcomes in emergency cases carry a higher early mortality but still conform to contemporary expectations and are similar to emergency first-time aortic surgery.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Feb
|
| pubmed:issn |
1816-5370
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| pubmed:author | |
| pubmed:issnType |
Electronic
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| pubmed:volume |
14
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
14-9
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| pubmed:dateRevised |
2010-11-18
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| pubmed:meshHeading |
pubmed-meshheading:16432112-Aged,
pubmed-meshheading:16432112-Aorta,
pubmed-meshheading:16432112-Aorta, Thoracic,
pubmed-meshheading:16432112-Aortic Diseases,
pubmed-meshheading:16432112-Cardiac Surgical Procedures,
pubmed-meshheading:16432112-Emergency Treatment,
pubmed-meshheading:16432112-Female,
pubmed-meshheading:16432112-Great Britain,
pubmed-meshheading:16432112-Hospital Mortality,
pubmed-meshheading:16432112-Humans,
pubmed-meshheading:16432112-Incidence,
pubmed-meshheading:16432112-Male,
pubmed-meshheading:16432112-Middle Aged,
pubmed-meshheading:16432112-Postoperative Complications,
pubmed-meshheading:16432112-Prospective Studies,
pubmed-meshheading:16432112-Renal Insufficiency,
pubmed-meshheading:16432112-Reoperation,
pubmed-meshheading:16432112-Risk Factors,
pubmed-meshheading:16432112-Stroke,
pubmed-meshheading:16432112-Surgical Procedures, Elective,
pubmed-meshheading:16432112-Survival Analysis
|
| pubmed:year |
2006
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| pubmed:articleTitle |
Ascending aorta or arch surgery: is previous cardiac surgery a risk factor?
|
| pubmed:affiliation |
Bristol Heart Institute, Bristol Royal Infirmary, Bristol, United Kingdom.
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| pubmed:publicationType |
Journal Article
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