AI Article Synopsis
- The study aimed to compare the effectiveness of one-stop hybrid surgery with the elephant trunk procedure in treating complex Stanford type B aortic dissection.
- Patients who underwent each surgical method were analyzed for key metrics like bypass time, ventilation time, hospital stay duration, and blood usage.
- Results showed the hybrid surgery group had significantly improved outcomes, such as shorter recovery times and nearly complete restoration of the aortic lumen after three months, suggesting it may be a more beneficial approach.
Article Abstract
Objectives: To compare the efficacy and prognosis of one-stop hybrid surgery using the elephant trunk procedure for treatment of complex Stanford type B aortic dissection.
Methods: We retrospectively analyzed patients who underwent surgical treatment from January 2014 to July 2019. The patients were divided into those who underwent the elephant trunk procedure (n = 10) and those who underwent one-stop hybrid surgery (n = 10). The cardiopulmonary bypass time, mechanical ventilation time, length of hospital stay, and red blood cell usage were compared between the two groups. All patients' 3-month postoperative aortic computed tomography angiography (CTA) findings were also reviewed.
Results: The cardiopulmonary bypass time, mechanical ventilation time, and length of hospital stay were significantly shorter and red blood cell usage was significantly lower in the one-stop hybridization group. The aortic cross-clamp time was not significantly different between the two groups. Aortic CTA review after hybrid surgery showed that the true lumen of the descending aorta was almost completely restored at 3 months.
Conclusion: One-stop hybrid surgery effectively alleviated the occlusion of the aortic dissection, prevented the need for additional surgery, and expanded the indications for covered-stent endovascular repair.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020104 | PMC |
| http://dx.doi.org/10.1177/0300060520957933 | DOI Listing |
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