Skip to main content

Table 2 Operative and postoperative outcomes

From: Short-term outcomes of acute coronary involvement in type A aortic dissection without myocardial ischemia: a multiple center retrospective cohort study

Variables ACI groupa non-ACI groupb P-value
n = 139 n = 792
Proximal repair
 Bentallc, n(%) 51 (36.7) 261 (33.0) 0.389
 Davidd, n(%) 1 (0.7) 11 (1.4) 1.000
 Wheate, n(%) 1 (0.7) 2 (0.2) 0.385
 AARf, n(%) 86 (61.9) 518 (65.4) 0.421
Distal repair, n(%)
 Aortic arch formation, n(%) 2 (1.4) 11 (1.4) 1.000
 Hemiarch replacement, n(%) 12 (8.6) 66 (8.3) 0.906
 Total arch replacement, n(%) 101 (72.7) 602 (76.0) 0.397
ACI sideg
 Left coronary artery, n(%) 12 (8.6)
 Right cornary artery, n(%) 129 (92.8)
 Bilateral coronary artery, n(%) 2 (2.3)
ACI classificationh
 Type A, n(%) 113 (81.3)
 Type B, n(%) 16 (18.7)
 Type C, n(%) 0 (0)
Manamement of ACI
 CORi 109 (78.4)
 CABGj 30 (21.6) 37 (4.7) < 0.001***
 Duration of surgery, mean (SD),min 476.3 (127.2) 447.6 (115.5) 0.008**
 Duration of cardiopulmonary bypass, mean (SD),min 231.6 (74.6) 203.4 (60.7) < 0.001***
 Duration of ICUk, mean (SD), hour 134.6 (211.2) 176.5 (487.5) 0.320
 Duration of MVl, mean (SD), hour 82.1 (125.1) 80.6 (110.2) 0.888
Secondary outcomes
 LCOSm, n(%) 8 (5.8) 28 (3.5) 0.211
 Acute kidney injury, n(%) 34 (24.5) 126 (15.9) 0.014*
 Malignant arrhythmia, n(%) 1 (0.7) 13 (1.6) 0.410
  1. aAcute coronary involvement in acute type A aortic dissection patients without coronary malperfusion; bNo acute coroanry involvement in acute type A aortic dissection patients without coroanry malperfusion; cBentall procedure: total ascending aortic, aortic sinus and aortic valve replacement; dDavid procedure: total ascending aortic and aortic sinus replacement with preservation of aortic valve; eWheat:total ascending aortic and aortic valve replacement with preservation of aortic sinus; fAAR procedure:simple total ascending aortic relacement; gThe side of acute coronary involvement; hAcute coronary involvement anatomical classification according to Neri et al.; iCoronary ostium repair; jCoronary artery bypass grafting; kDuration of staying in intensive care unit;lDuration of mechanical ventilation; m: low cardiac output syndrome ***: P<0.001;**: P<0.01,*:P<0.05