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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