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Kalashnikova T.P.

Cardiology Research Institute

Arsenyeva Yu.A.

Cardiology Research Institute

Gorchakova M.B.

Cardiology Research Institute

Kravchenko I.V.

Cardiology Research Institute

Kamenshchikov N.O.

Cardiology Research Institute

Podoksenov Yu.K.

Cardiology Research Institute

Panfilov D.S.

Cardiology Research Institute

Boshchenko A.A.

Cardiology Research Institute

Kozlov B.N.

Cardiology Research Institute

Perioperative risk factors of nosocomial pneumonia after aortic arch surgery

Authors:

Kalashnikova T.P., Arsenyeva Yu.A., Gorchakova M.B., Kravchenko I.V., Kamenshchikov N.O., Podoksenov Yu.K., Panfilov D.S., Boshchenko A.A., Kozlov B.N.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4): 364‑369

DOI: 10.17116/kardio202417041364

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Table of contents

PERIOPERATIVE RISK FACTORS OF NOSOCOMIAL PNEUMONIA AFTER AORTIC ARCH SURGERY
PERIOPERATIVE RISK FACTORS OF NOSOCOMIAL PNEUMONIA AFTER AORTIC ARCH SURGERY

To cite this article:

Kalashnikova TP, Arsenyeva YuA, Gorchakova MB, et al. . Perioperative risk factors of nosocomial pneumonia after aortic arch surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4):364‑369. (In Russ.)
https://doi.org/10.17116/kardio202417041364

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

To study the incidence and severity of nosocomial pneumonia (NP) after different methods of aortic arch repair.

MATERIAL AND METHODS

We retrospectively analyzed 66 case histories of patients who underwent aortic arch surgery. Patients were divided into two groups depending on surgical technique: group 1 (n=25) — total aortic arch replacement with descending aorta stenting (frozen elephant trunk (FET)); group 2 (n=41) — hemiarch procedure. Incidence and time to pneumonia, as well as severity of disease was assessed. Influence of certain perioperative risk factors on pneumonia was estimated.

RESULTS

Incidence of pneumonia after aortic arch surgery was 24.2%. More severe pneumonia occurred after FET procedure (p=0.025). FET technique was characterized by longer cardiopulmonary bypass (CPB) time (230.3±52.3 min, p=0.021), cardiac arrest (189.2±49.2, p=0.045) and circulatory arrest (32.5±7.9, p<0.001). Prolonged CPB, cardiac and circulatory arrest were found to be a risk factor of respiratory failure requiring prolonged ventilation.

CONCLUSION

The risk of postoperative NP after aortic arch surgery is associated with prolonged CPB, circulatory and cardiac arrest. These variables are significant predictors of prolonged mechanical ventilation and subsequent NP.

Keywords:

frozen elephant trunk
hemiarch
nosocomial pneumonia
cardiopulmonary bypass
cardiac arrest
circulatory arrest
mechanical ventilation

Authors:

Kalashnikova T.P.

Cardiology Research Institute

Arsenyeva Yu.A.

Cardiology Research Institute

Gorchakova M.B.

Cardiology Research Institute

Kravchenko I.V.

Cardiology Research Institute

Kamenshchikov N.O.

Cardiology Research Institute

Podoksenov Yu.K.

Cardiology Research Institute

Panfilov D.S.

Cardiology Research Institute

Boshchenko A.A.

Cardiology Research Institute

Kozlov B.N.

Cardiology Research Institute

Received:

04.04.2023

Accepted:

15.06.2023

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