ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NGOẠI KHOA HỘI CHỨNG ĐỘNG MẠCH CHỦ NGỰC CẤP

Abstract

Objectives: The aim of this study was to evaluate the operative treatment of the acute aortic syndrome. Materials and methods: A prospective descriptive study was conducted in a series of  patients, suffering the acute aortic syndrome, in Cho Ray hospital and University Medical Centerfrom September 2015 to  September 2018. Results: There are 102  patients suffering AAS but 101 patients were performed surgery with a mean age of 46.3±21, 78 males (78.7%) and 23 females (23.2%). The early mortality of operative treatment of AAS were 22,7% (23/101). Etiology of death was as follows: low cardiac output (4/23); stroke, (5/23); hemorrhage, (2/23); sepsis, (2/23); and varied other causes (10/23).Plots of Kaplan-Meier estimates of survival of this group of patients are 69%. Conclusion: Operative mortality in this result of surgical treatment for AAS is similar to contemporary worldwide registry data. Rateof deaths after surgery for AASare 22,7% (23/101), arising from postoperative stroke, hemorrhage, or cardiac dysfunction and pneumonia.Plots of Kaplan-Meier estimates of survival of this group of patients are 69%. A further understanding of the mechanisms of AAS in this population is needed.