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Replacement of the ascending aorta for severe atherosclerosis during coronary artery bypass surgery

Ahmet Umit Gullu1, Eyup Murat Okten, Mehmet Hakan Akay

  • 1Acibadem University, Department of Cardiovascular Surgery, Istanbul, Turkey. aumitgullu@yahoo.com

Journal of Cardiac Surgery
|September 18, 2012
PubMed

Insights

Ascending aorta replacement during coronary artery bypass surgery (CABG) is safe for patients with severe aortic atherosclerosis. This procedure offers good long-term outcomes, including reduced stroke rates post-discharge.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiac Surgery

Background:

  • Severe aortic atherosclerosis poses risks during coronary artery bypass surgery (CABG).
  • Ascending aorta replacement is a potential intervention for these high-risk patients.

Purpose of the Study:

  • To investigate the benefits and outcomes of ascending aorta replacement in patients undergoing CABG for severe aortic atherosclerosis.

Main Methods:

  • A retrospective study comparing 36 patients who underwent ascending aorta replacement during CABG with a control group of 3806 patients.
  • Total circulatory arrest was utilized in 61% of the study group.
  • Follow-up duration was 69 ± 36 months.

Main Results:

  • The study group had higher baseline risk scores (mean additive Euroscore 9, logistic Euroscore 20).
  • One early postoperative stroke (2.8%) occurred in the study group, with no strokes during the extended follow-up.
  • Overall mortality in the study group was 12%, with causes including malignancy and cardiac issues.

Conclusions:

  • Ascending aorta replacement can be safely performed in selected patients with severe aortic atherosclerosis undergoing CABG.
  • The procedure demonstrates favorable long-term outcomes, including a low stroke incidence post-discharge.
Abstract

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