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EARLY RESULTS OF SURGERY FOR ACUTE TYPE A AORTIC DISSECTION AT VIET DUC UNIVERSITY HOSPITAL IN PERIOD 2018 - 2021
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Abstract
Introdution: Emergency open-heart surgery for acute type A aortic dissection - a life threatening cardiovascular disease, has become routine at Viet Duc university hospital. There were some reports in previous years to 2016. This study aims to evaluate the early results of surgery for the period 2018-2021, with many advances in technique and equipment - materials. Patients and methods: This is retrospective descriptive study with convenience sample size. All patients, who underwent operation with acute type A aortic dissection during period from January 2018 to December 2021 were included in the analysis. Results: There were 201 patients with mean age 57 ± 12 years and 76.7% patients were male. The most common preoperative complication was acute cardiac tamponade (7,5%). 4% patients had Marfan phenotype. The ascending aorta replacement was in 51,2% cases, the hemiarch and total arch replacements ware 16.9% and 22.9% respectively, from this the frozen elephant trunk procedure was in 10.9%. The average length of ICU stay was 12.1 ± 18.8 days, the rate of tracheostomy was 15.8%. In hospital mortality was 10.9%. Conclusion: In recent years, we have applied many diverse and up-to-date surgical techniques to treat acute type A aortic dissection with early positive results.
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Keywords
Acute type A aortic dissection, Viet Duc university hospital, Aortic surgery
References
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