From: Consumption coagulopathy in acute aortic dissection: principles of management
Variable | Acute type A aortic dissection (n = 66) | Thoracic aortic aneurysm (n = 36) | p |
---|---|---|---|
Ascending + total-arch replacement | 38 (57.6) | - | - |
Composite graft + total-arch replacement | 28 (42.4) | - | - |
Ascending replacement | - | 10 (27.8) | - |
Composite graft | - | 26 (72.2) | - |
Operation time, hr | 8.1 ± 1.8 | 4.4 ± 0.5 | <0.01 |
CPB time, min | 210 ± 56 | 131 ± 14 | <0.01 |
Aortic cross clamp time, min | 125 ± 47 | 89 ± 15 | <0.01 |
The duration of HCA, min | 27.3 ± 1.1 | - | - |
Lowest nasopharyngeal temperature, °C | 23.0 ± 2.0 | 30.8 ± 0.8 | <0.01 |
Reoperation for bleeding, n (%) | 6 (9.1) | 4 (11.1) | 0.74 |
Intraoperative blood loss, mL | 1416 (1000, 1700) | 939 (800, 1000) | <0.01 |
Total postoperative drainage, mL | 2900 (1220, 3580) | 618 (400, 700) | <0.01 |
Packed red blood cells, mL | 1415 (600, 1870) | 330 (0, 600) | <0.01 |
Fresh frozen plasma, mL | 603 (200, 850) | 230 (0, 400) | <0.01 |
Platelet concentrate, mL | 300 (0, 600) | 200 (0, 300) | 0.05 |
In-hospital mortality | 7 (10.6) | 3 (8.3) | 1.00 |
Length of in-hospital, day | 16.7 (10.5, 19.0) | 17.6 (13.0, 19.0) | 0.63 |
Length of ICU, day | 6.3 (1.2, 8.5) | 3.2 (0.8, 2.0) | 0.02 |
Postoperative dialysis | 13 (19.7) | 7 (19.4) | 1.00 |
Low cardiac output syndrome | 4 (6.1) | 4 (11.1) | 0.45 |
Sepsis | 12 (18.2) | 2 (5.6) | 0.13 |
Paraplegia | 3 (4.5) | 0 | 0.55 |
Respiratory failure | 16 (24.2) | 3 (8.3) | 0.06 |
Cerebral infarction or bleeding | 7 (10.6) | 4 (11.1) | 1.00 |