PHẪU THUẬT ĐIỀU TRỊ BỆNH ĐỘNG MẠCH CHỦ NGỰC TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

This is a cross-sectional descriptive study of 37 patients who was operated from September 2019 to December 2022. 32 cases were underwent with cardiopulmonary bypass (17 cases of them were with circulator arrest and selective cerebral perfusion (group I)), 5 cases were without cardiopulmonary bypass (Group III). 100% of patients was aged of 50 years or older. Chest pain was present in the majority of patients (76.5% in the group with selective cerebral perfusion). 100% of patients in the non-circulator-arrest and selective cerebral perfusion group had ascending aortic aneurysm. The majority of patients in the group with selective cerebral perfusion had type A aortic dissection and in the other group a type B aortic dissection. Ten different surgical methods were used. The average length of ICU stay was 8 ± 4.2 (day), 3.9 ± 1 (day) and 1.3 ± 0.5 (day), respectively. The complications were renal failure, temporary neurologic complications, bleeding, re-operation, limb embolism, infection, spinal cor ischemia. There was 1 death in the group of surgical patients using cardiopulmonary bypass, without circulator arrest and selective cerebral perfusion.