Status of surgical treatment of aortic diseases: experience of multi-center aortic registry in Jiangsu Province / 中华胸心血管外科杂志

ABSTRACT

Objective:To analyze the status of treatment of aortic diseases in nine centers included in Jiangsu Aortic Registry study.Methods:Medical records of 1 105 patients who underwent surgery for aortic diseases in nine cardiovascular centers in Jiangsu province from January 1, 2019 to December 31, 2020 were retrospectively collected. According to the types of diseases, they are divided into three categories Category Ⅰ diseases aortic diseases requiring only simple open surgery; Category Ⅱ aortic disease requiring complex open surgery; Category Ⅲ disease aortic disease requiring interventional or hybrid surgery. The diagnosis and treatment of the three diseases were compared by statistical analysis.Results:Patients aged 50-59 years and 60-69 years were the most in the whole group, accounting for 291(26.3%) and 319 (28.9%), respectively. That is, the age group between 50-69 years was the main age for the incidence of aortic disease, accounting for 55.2% (610/1 105) of the total incidence. The ratio of male to female was 803∶302, and male was 72.7% (803/1 105). The perioperative mortality of patients with type Ⅰ and Ⅲ diseases was lower [1.6%(6/385) and 1.0% (4/330), respectively]. The perioperative mortality of patients with type Ⅱ diseases was significantly increased (15.5% (51/330)) due to their dangerous onset and complicated operation. The highest postoperative complications were infection 11.3% (124/1 105), acute kidney injury 8.6% (95/1 105), and neurological complications 7.0% (77/1 105), respectively.Conclusion:Individualized treatment according to the lesion site, lesion type and scope of involvement of aortic disease can achieve a satisfactory prognosis.