medigraphic.com
ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2019, Number 3

<< Back Next >>

Cir Card Mex 2019; 4 (3)

Ascending aorta disease: a case series

Ortega-Zhindón DB, Flores-Calderón O, Ibarra-Morales D, Hernández-Rodríguez GE, Ramírez-Castañeda S

Language: English
References: 16
Page: 89-92
PDF size: 205.71 Kb.


ABSTRACT

Thoracic aortic aneurysms have a prevalence of up to 0.16%, with fatal complications. Objective. To describe a series of cases in the treatment of thoracic aortic disease. Material and methods. We retrospectively reviewed patients undergoing surgery of the thoracic aorta during January 1, 2013 to December 31, 2017, documenting risk factors, functional class, type of aneurysm and / or dissection and surgical risk. Results. There were 6 patients, 4 of the male gender (66%), with an average age of 38 years (21-45). The cardiovascular risk factors were: systemic hypertension (50%), dyslipidemia (33%), smoking (66%). We found one case with Marfan Syndrome (16%), one as reoperation (16%) and 3 had type A dissection (50%). They were in preoperative functional class III of 66% and III for 33%; ejection fraction of the left ventricle higher than 50% in 83%, and moderate aortic insufficiency in 66%. The average EuroSCORE II was 6.9 (1.52-25.14). Operative mortality was 50%. Conclusions. Our hospital has a high early operative mortality due to the characteristics of the series of patients. However, even a more extensive series is needed to improve our experience while making comparison with other national and international centers.


REFERENCES

  1. Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reportingon arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms,Ad Hoc Committee on Reporting Standards, Society for Vascular Surgeryand North American Chapter, International Society for Cardiovascular Surgery. JVasc Surg 1991; 13: 452-8.

  2. Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the diagnosis and management of patientswith thoracic aortic disease: a report of the American College of CardiologyFoundation/American Heart Association Task Force on Practice Guidelines,American Association for Thoracic Surgery, American College of Radiology,American Stroke Association, Society of Cardiovascular Anesthesiologists, Societyfor Cardiovascular Angiography and Interventions, Society of InterventionalRadiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation2010; 121: 266-369.

  3. Kälsch H, Lehmann N, Möhlenkamp S, et al. Body-surface adjusted aortic referencediameters for improved identification of patients with thoracic aortic aneurysms:results from the population-based Heinz Nixdorf Recall study. Int J Cardiol2013; 163: 72-8.

  4. Bickerstaff LK, Pairolero PC, Hollier LH, et al. Thoracic aortic aneurysms: a population-based study. Surgery 1982; 92: 1103-8.

  5. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation 2005; 111:816-28.

  6. Pacini D, Di Marco L, Fortuna D, et al. Acute aortic dissection: Epidemiology andoutcomes. Int J Cardiol 2013; 167: 2806-12.

  7. Cabasa A, Pochettino A. Surgical management and outcomes of type A dissection– the Mayo Clinic experience. Ann Cardiothorac Surg 2016; 5: 296 - 309.

  8. Isselbacher EM, Lino CL, Lindsay ME. Hereditary Influence in Thoracic AorticAneurysm and Dissection. Circulation 2016; 133: 2516-28.

  9. Torres D, López A, Claire S, et al. Tratamiento sustitutivo en aneurismas de aortaascendente: mortalidad a uno y doce meses. Cir Card Mex 2018; 3: 1-6.

  10. Boodhwani M, Andelfinger G, Leipsic J, et al. Canadian Cardiovascular SocietyPosition Statement on the Management of Thoracic Aortic Disease. Can J Cardiol2014; 30: 577- 89.

  11. Benedetto U, Raja SG, Amrani M, et al. The impact of arterial cannulation strategyon operative outcomes in aortic surgery: evidence from a comprehensive meta-analysis of comparative studies on 4476 patients. J Thorac Cardiovasc Surg2014; 148: 2936-43.

  12. Hu Z, Wang Z, Ren Z, et al. Similar cerebral protective effectiveness of antegradeand retrograde cerebral perfusion combined with deep hypothermia circulatory arrestin aortic arch surgery: a meta-analysis and systematic review of 5060 patients.J Thorac Cardiovasc Surg 2014; 148: 544-60.

  13. Vargas A, Careaga G, Téllez S, Argüero A. Tratamiento quirúrgico de los aneurismasde la aorta torácica. Rev Mex Cardiol 2003; 14: 118-27.

  14. Galicia M, Marín B, Fuentes C, Martínez M, Villalpando E, Ramírez F. Procedimientode Bentall en la enfermedad aneurismática de la aorta ascendente: mortalidadhospitalaria. Cir Ciruj 2010; 78: 45-51.

  15. Concha M. Tratamiento quirúrgico de la raíz de la aorta. Cir. Cardiov 2007; 14:305-10.

  16. Kapadia MR, Popowich DA, Kibbe MR. Modified prosthetic vascular conduits.Circulation 2008; 117: 1873-82.




2020     |     www.medigraphic.com