Table 3 Operative parameters
From: Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
AMDS | Control | P-value | |
|---|---|---|---|
(n = 9) | (n = 111) | ||
EuroScore II, % (mean ± SD) | 15.7 ± 3.7 | 25.4 ± 15.3 | 0.09 |
Duration | |||
Overall, min (mean ± SD) | 471 ± 83 | 382 ± 103 | 0.09 |
Cardiopulmonary bypass, min (mean ± SD) | 313 ± 53 | 248 ± 76 | < 0.01 |
Aortic cross clamp, min (mean ± SD) | 201 ± 50 | 149 ± 48 | < 0.01 |
Circulatory arrest, min (mean ± SD) | 52 ± 12 | 30 ± 15 | < 0.01 |
Bilateral antegrade cerebral perfusion, min (mean ± SD) | 38 ± 15 | 33 ± 45 | 0.03 |
Reperfusion, min (mean ± SD) | 88 ± 22 | 78 ± 38 | 0.13 |
Operative procedures | |||
Replacement of ascending aorta, n (%) | 9 (100.0) | 111 (100.0) | > 0.99 |
Valve-sparing root replacement, n (%) | 5 (55.6) | 54 (48.6) | 0.74 |
Aortic valve replacement | |||
Bioprosthesis, n (%) | 4 (44.4) | 54 (48.6) | > 0.99 |
Mechanical prosthesis, n (%) | 0 (0.0) | 3 (2.7) | > 0.99 |
Coronary artery bypass graft, n (%) | 0 (0.0) | 37 (33.3) | 0.06 |
Arterial cannulation for cardiopulmonary bypass | |||
Right subclavian artery, n (%) | 7 (77.8) | 72 (64.9) | 0.72 |
Ascending aorta, n (%) | 2 (22.2) | 22 (19.8) | > 0.99 |
Femoral artery, n (%) | 0 (0.0) | 19 (17.1) | 0.35 |
Apex, n (%) | 0 (0.0) | 1 (0.9) | > 0.99 |
Antegrade perfusion | |||
Right subclavian artery, n (%) | 9 (100.0) | 102/106 (96.2) | > 0.99 |
Left common carotid artery, n (%) | 9 (100.0) | 101/106 (95.3) | > 0.99 |
Left subclavian artery, n (%) | 1 (11.1) | 19/106 (17.9) | > 0.99 |
Minimal body core temperature, °C (mean ± SD) | 26.5 ± 0.8 | 26.6 ± 4.2 | 0.74 |
Intraoperative peak lactate, mmol/l (mean ± SD) | 9.06 ± 4.00 | 7.93 ± 4.45 | 0.18 |
Aortic rupture, n (%) | 1 (11.1) | 6 (5.4) | 0.43 |
Blood transfusion, n (%) | 9 (100.0) | 111 (100.0) | > 0.99 |
Packed red blood cells, n (mean ± SD) | 9.8 ± 8.7 | 9.9 ± 6.1 | 0.49 |
Packed platelets, n (mean ± SD) | 5.6 ± 2.5 | 4.9 ± 2.4 | 0.51 |
Intraoperative death, n (%) | 0 (0.0) | 1 (0.9) | > 0.99 |