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Elective Thoracic Aortic Aneurysm Surgery: A Tertiary Center Experience
Abdul Badran1, Youssef Elghazouli1, Manasi Mahesh Shirke2
1Cardiothoracic Surgery, Southampton General Hospital NHS Foundation Trust, Southampton, GBR.
Cureus
|June 19, 2023
Summary
This study reviewed 234 thoracic aortic aneurysm (TAA) repairs, finding that female gender, aortic root surgery, and prosthetic valves were linked to mortality. Understanding these risk factors is crucial for TAA patient care.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Thoracic Surgery
Background:
- Thoracic aortic aneurysm (TAA) involves aortic dilation, leading to significant morbidity and mortality.
- Open thoracic surgery is the primary treatment for proximal TAA.
- This study analyzes institutional data on TAA repair outcomes.
Purpose of the Study:
- To summarize preoperative data and operative outcomes for patients undergoing TAA repair.
- To identify factors associated with complications and mortality after TAA surgery.
Main Methods:
- Retrospective data collection from 234 patients undergoing elective open thoracic surgery for TAA.
- Data included demographics, clinical factors, surgical details, and outcomes from 2015-2019.
- Mean follow-up was 370 days.
Main Results:
- The study included 166 males and 68 females (mean age 66).
- Operations involved aortic root (105), ascending aorta (171), aortic arch (20), and descending aorta (12).
- 30-day mortality was 5.13%, associated with female gender, aortic root surgery, and prosthetic valves.
Conclusions:
- Several factors correlate with TAA repair complications and morbidity.
- Risk factors should be discussed with patients pre-operatively.
- Current institutional practices align with international guidelines for TAA management.
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