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Outcomes after Surgical Repair of Thoracoabdominal Aortic Aneurysm with Distal Aortic Dissection:DeBakey Type Ⅰ versus Type Ⅲ / 中国医学科学院学报
Acta Academiae Medicinae Sinicae ; (6): 319-326, 2020.
Artículo en Chino | WPRIM | ID: wpr-826362
ABSTRACT
To evaluate the early and mid-term results after surgical repair of thoracoabdominal aortic aneurysm(TAAA)in patients with DeBakey typeⅠor Ⅲ aortic dissection. The clinical data of 130 patients who underwent TAAA repair for chronic DeBakey typeⅠ(groupⅠ, =47)or type Ⅲ(group Ⅲ, =83)aortic dissections in our center between January 2009 and December 2017 were retrospectively analyzed.Early postoperative results,midterm survival,and re-interventions were compared between these two groups. The 30-day mortality rate was 6.9%(=9)in the overall cohort,with no statistic difference between groupⅠand group Ⅲ(10.6% 4.8%;=0.803, =0.370).The incidence of major adverse events(38.3% 51.8%;=2.199, =0.138),5-year actuarial survival rate [(81.7±5.9)% (87.2±4.2)%;=0.483, =0.487],and 5-year actuarial freedom from all reinterventions [(84.5±6.7)% (85.5±4.8)%;=0.010, =0.920] showed no significant differences between these two groups. The early and mid-term outcomes after surgical repair of TAAA are similar for DeBakey typeⅠ and type Ⅲ patients.However,studies with larger sample sizes are still required.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Estudios Retrospectivos / Resultado del Tratamiento / Mortalidad Hospitalaria / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Disección Aórtica Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Chino Revista: Acta Academiae Medicinae Sinicae Año: 2020 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Estudios Retrospectivos / Resultado del Tratamiento / Mortalidad Hospitalaria / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Disección Aórtica Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Chino Revista: Acta Academiae Medicinae Sinicae Año: 2020 Tipo del documento: Artículo