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Life Expectancy after Surgery for Ascending Aortic Aneurysm.
Daniel Hernandez-Vaquero1,2, Jacobo Silva1,3, Alain Escalera1
1Cardiac Surgery Department, Central University Hospital of Asturias, 33011 Oviedo, Spain.
Journal of Clinical Medicine
|February 29, 2020
Summary
Patients undergoing ascending aortic aneurysm surgery who survive the initial recovery period achieve life expectancy comparable to the general population. This indicates successful long-term outcomes for this patient group.
Area of Science:
- Cardiovascular Surgery
- Aortic Aneurysm Research
- Public Health and Epidemiology
Background:
- Ascending aortic aneurysm repair is a significant cardiovascular procedure.
- Limited data exists on the long-term life expectancy of patients post-ascending aortic replacement.
- Population life expectancy is influenced by environmental and socio-economic factors.
Purpose of the Study:
- To compare the life expectancy of patients undergoing ascending aortic aneurysm surgery with the general population, matched for age, sex, and territory.
- To investigate late complications, causes of death, and risk factors in this patient cohort.
Main Methods:
- Retrospective analysis of patients who underwent elective ascending aortic aneurysm replacement between 2000 and 2019.
- Comparison of long-term survival data with the general population using National Institute of Statistics data.
- Analysis of causes of death and late complications.
Main Results:
- Postoperative survivors showed high cumulative survival rates: 94.07% at 3 years, 89.96% at 5 years, and 82.72% at 8 years.
- These survival rates were comparable to the general population (93.22% at 3 years, 88.30% at 5 years, 80.27% at 8 years).
- Cancer and cardiac failure were identified as the primary causes of mortality.
Conclusions:
- Elective ascending aortic aneurysm surgery, for patients who recover from the postoperative period, allows for a complete recovery of life expectancy.
- Long-term survival post-ascending aortic repair is favorable when compared to the general population.
- Understanding causes of death is crucial for improving long-term patient management.
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