Early postoperative complications in aortic arch surgery

Kozlov B.N.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Panfilov D.S.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Andriyanova A.V.

Tomsk Cardiology Research Institute, Tomsk, Russia

Kuznetsov M.S.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Nasrashvili G.G.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Shipulin V.M.

Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia;
Siberian State Medical University, Tomsk, Russia

Early postoperative complications in aortic arch surgery

Authors:

Kozlov B.N., Panfilov D.S., Andriyanova A.V., Kuznetsov M.S., Nasrashvili G.G., Shipulin V.M.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(4): 24‑31

DOI: 10.17116/kardio201710424-31

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To cite this article:

Kozlov BN, Panfilov DS, Andriyanova AV, Kuznetsov MS, Nasrashvili GG, Shipulin VM. Early postoperative complications in aortic arch surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2017;10(4):24‑31. (In Russ.)
https://doi.org/10.17116/kardio201710424-31

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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Aim. To analyze early postoperative complications depending on type of aortic arch repair. Material and methods. For a 7-year period 126 patients underwent aortic arch repair that was followed by thoracic aortic reconstruction if it was indicated («Hemiarch procedure», total arch replacement, «frozen elephant trunk») under deep/moderate hypothermia and antegrade cerebral perfusion via innominate artery. Results. Re-sternotomy for bleeding was made in 8 (6.3%) cases in early postoperative period. 25 (19.8%) patients had respiratory failure followed by tracheostomy. Acute myocardial infarction in postoperative period developed in 4 (3.2%) patients. Hemodialysis for acute renal failure was performed in 14 (11.1%) cases. Transient ischemic attack was diagnosed in 2 (1.6%) patients. Somatogenic psychosis was noted in 9 (7.1%) cases. 30-day mortality was 7.1% (9 cases) and in-hospital mortality was 9.5% (12). Conclusion. The quality and quantity of early postoperative complications depend on type of aortic arch repair. Reduced time of cardiopulmonary bypass and circulatory arrest is followed by decrease of postoperative complications incidence and mortality rate. Hybrid treatment of thoracic aortic pathology is characterized by significantly lower early mortality compared with conventional open aortic arch replacement.

Keywords:

aortic arch

«Hemiarch procedure»

aortic arch replacement

«frozen elephant trunk»

complications

mortality

Authors:

Kozlov B.N.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Panfilov D.S.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Andriyanova A.V.

Tomsk Cardiology Research Institute, Tomsk, Russia

Kuznetsov M.S.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Nasrashvili G.G.

Research Cardiology Institute, Siberian Department of RAS, Tomsk, Russia

Shipulin V.M.

Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia;
Siberian State Medical University, Tomsk, Russia

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