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[Total aortic arch replacement;our current surgical management and outcomes]
Atsushi Omura1, Kenji Okada, Hiroya Kano
1Department of Cardiovascular Surgery, Kobe University School of Medicine, Kobe, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 10, 2013
Summary
This study on total aortic arch replacement shows low hospital mortality and morbidity. Surgical techniques resulted in favorable long-term survival and fewer aortic complications.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Context:
- Aortic arch pathologies require complex surgical intervention.
- Total arch replacement is a critical procedure for extensive aortic disease.
- Optimizing surgical techniques is essential for improving patient outcomes.
Purpose:
- To report the surgical management and outcomes of total aortic arch replacement.
- To evaluate early and late results of a specific surgical approach.
- To assess the safety and efficacy of current surgical strategies.
Summary:
- 372 patients underwent total aortic arch replacement (TAR) between 1999-2012.
- The surgical approach involved meticulous cannulation, deep hypothermic circulatory arrest, antegrade cerebral perfusion, and careful fluid management.
- Overall 30-day mortality was 1.6%, with permanent neurologic deficit in 2.2% of patients.
Impact:
- The described surgical strategy demonstrated low hospital mortality and morbidity.
- Long-term follow-up revealed favorable survival rates (75.8% at 5 years, 66.0% at 10 years).
- High freedom from aortic-related events and re-operations was observed, highlighting the durability of the procedure.
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