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2024-03-28T13:52:15+01:00webmedcentral logo
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http://www.webmedcentral.com/images/Header_Logo.giftext/html2013-05-20T06:02:24+01:00http://www.webmedcentral.com/Dr. Gentian VyshkaAortic Valve Surgery: Results of Aortic Valve Surgery Combined or not with CABG Surgery
http://www.webmedcentral.com/article_view/4256
Objective: The number of patients doing aortic valve surgery with or without CABG is increasing continuously in our country. The goal of this study is to evaluate the results of aortic valve surgery alone or combined with CABG surgery in terms of mortality and peri operative complications.
Methods: This is a retrospective and prospective study. We included the patients underwent aortic valve surgery (replacement or another procedure) with or without CABG from January 2007 and in April 2012 . The population of 243 patients is divided into two groups: Group 1 included 59 patients combined surgery; Group 2 included 184 patients isolated aortic valve surgery.
Results: The hospital mortality is 4,5 % in general. The hospital mortality for group 1 is 6,8% and for group 2 is 3,8 %. The difference is not statistically significant. Low cardiac output, conduction disturbances, stroke, pulmonary complications, renal complications, bleeding, atrial fibrillation, wound infections, ventricular arithmias about the complications are 11.9 % in vs. 7.1 %,5.1% vs 6.6% , 3.4% vs. 0.5 %,13.6 % vs. 3.3%, 5.1 % vs.0.5 % , 5.2 % vs. 1.6 %, 15.3 % vs.17.9%,10.3 % vs 1.6 %,6.8 %vs 6.5 %, respectively for the group 1 and 2.The differences were statistically significant only for pulmonary, renal and wound complications.
Conclusions: We achieved satisfactory results by our experience. Simultaneous coronary artery by-pass with aortic valve increases slightly the operative mortality and perioperative complications . The next goal is to estimate the long term results for both groups.text/html2014-10-24T09:01:07+01:00http://www.webmedcentral.com/Dr. Ermal LikajEarly results of ascending aorta and aortic arch surgery in Albania
http://www.webmedcentral.com/article_view/4732
Background
Treatment of aneurysms of the ascending aorta, arch aorta, or both is surgically challenging and has traditionally carried a high hospital mortality rate. The use of refined operative techniques has resulted in reduced hospital mortality rates.
Patients and Methods
We conducted a prospective analysis of consecutive patients who underwent 74 surgical procedures between January 2011 and January 2014, for graft replacement of the ascending aorta or transverse aortic arch. There were 58 men (78.4%) and 16 women (21.6%). The mean age was 55.3±9.8 years (range 30 – 74years ). Etiology was medial degeneration in 44 patients (59.5%), bicuspid aortic pathology in 28 patients (37.8%) and aortic dissection in 2 patients(2.7%). Fifteen patients (20.3%) were operated on an emergency basis for acute aortic dissection.
Results
The ascending aorta was replaced in all 69 patients (93,2%) and plicated in five patients (6.8%). Ascending aorta and aortic arch was replaced in 9 patients (12.1%). 17 patients had only ascending aortic procedure, 35 patients had separate aortic valve and ascending aorta replacement (47.3%), and 18 patients (24.3%) received a valved conduit (Modified Bentall procedure). Concomitant bypass grafting was performed in nine patients.
Mean cross-clamp and bypass times were 115.38±41.19 min and 143.26±55.79 min respectively. Early hospital mortality rate was 3.38% (2 out of 59 patients) in the elective surgery group and 26.67% in the emergency group(4 out of 15).
Conclusions
Surgery of the ascending aorta and aortic arch can be performed with low morbidity and mortality rates at our clinic inAlbania.