From: Comparison of surgical and conservative treatment outcomes for type a aortic intramural hematoma
Category | Surgical treatment of AD (n = 154) | Surgical treatment of IMH (n = 47) | χ2/t | P value |
---|---|---|---|---|
Sex (male, %) | 110 (71.4) | 39 (83) | 2.505 | 0.113 |
Age (yrs) | 54.99 ± 12.33 | 54.36 ± 10.89 | 0.312 | 0.755 |
BMI (kg/m2) | 26.09 ± 3.86 | 26.88 ± 3.62 | 1.250 | 0.213 |
Smoking (%) | 64 (41.6) | 21 (44.7) | 0.144 | 0.704 |
Diabetes (%) | 9 (5.8) | 6 (12.8) | 1.597 | 0.206 |
Hypertension (%) | 127 (82.5) | 42 (89.4) | 1.279 | 0.258 |
Hyperlipidemia (%) | 8 (5.2) | 4 (8.5) | 0.238 | 0.625 |
COPD (%) | 7 (4.5) | 3 (6.4) | 0.015 | 0.901 |
LVEF (%) | 61.29 ± 6.87 | 60.30 ± 7.21 | 0.853 | 0.395 |
Euro SCORE II | 5.65 (3.55, 9.77) | 5.66 (4.04, 11.02) | − 0.431 | 0.666 |
Aortic Cross-clamping time (min) | 90 (76, 103) | 89 (78, 106) | − 0.795 | 0.427 |
Circulatory arrest duration (min) | 19.98 ± 9.39 | 17.51 ± 3.97 | 2.593 | 0.010 |
Cardiopulmonary bypass time (CPBT) (min) | 165 (142.75, 186.25) | 170 (152, 193) | − 1.274 | 0.203 |
Stay time of ICU(day) | 3 (2, 6) | 3 (2, 6) | − 0.161 | 0.872 |
Cerebrovascular accident (%) | 30 (19.5) | 7 (14.9) | 0.504 | 0.478 |
Pericardial effusion (%) | 25 (16.2) | 8 (17) | 0.016 | 0.898 |
Secondary block (%) | 24 (15.6) | 7 (14.9) | 0.013 | 0.909 |
Cardioplegic solution (%) | 2.106 | 0.349 | ||
Buckberg | 14 (9.1) | 4 (8.5) | ||
Del Nido | 123 (79.9) | 34 (72.3) | ||
HTK | 17 (11) | 9 (19.2) | ||
Further classification (%) | 1.866 | 0.389 | ||
Type A1 | 110 (71.4) | 31 (66) | ||
Type A2 | 29 (18.8) | 8 (17) | ||
Type A3 | 15 (9.8) | 8 (17) | ||
Aortic arch involvement (%) | 4.238 | 0.040 | ||
Type C | 98 (63.6) | 22 (46.8) | ||
Type S | 56 (36.4) | 25 (53.2) | ||
Low cardiac output (%) | 6 (3.9) | 1 (2.1) | 0.015 | 0.901 |
Secondary endotracheal intubation (%) | 11 (7.1) | 7 (14.9) | 1.788 | 0.181 |
Acute kidney injury (%) | 26 (16.9) | 8 (17.0) | < 0.001 | 0.982 |
Second operation (%) | 26 (16.9) | 5 (10.6) | 1.077 | 0.299 |
Infection (%) | 48 (31.2) | 9 (19.1) | 2.561 | 0.110 |
Brain complications (%) | 27 (17.5) | 11 (23.4) | 0.810 | 0.368 |
Spinal cord complications (%) | 8 (5.2) | 1 (2.1) | 0.237 | 0.373 |
Poor wound healing (%) | 10 (6.5) | 5 (10.6) | 0.396 | 0.529 |
Hospital mortality (%) | 0 (0) | 0 (0) | – | 1.000 |