| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;74:422-425
© 2002 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery and Institute of Anesthesiology, University Hospital, Berne, Switzerland
Accepted for publication April 16, 2002.
* Address reprint requests to Dr Immer, Department of Cardiovascular Surgery, University Hospital, 3010 Berne, Switzerland
e-mail: franzimmer{at}yahoo.de
Background. Aneurysm of the ascending aorta is a common finding especially in patients with aortic valve diseases. The aim of this study was to analyze early and midterm outcome in patients operated on for aneurysm of the ascending aorta with or without the use of deep hypothermic circulatory arrest (DHCA).
Methods. Between January 1996 and December 2000, 133 of 410 patients with thoracic aortic pathology were operated on for an aortic aneurysm limited mainly to the ascending aorta. Early and midterm outcomes were assessed and quality of life (QOL) evaluated using the Short-Form 36 Health Survey Questionnaire (SF-36).
Results. Sixty patients (group 1) were operated on with DHCA and 73 patients (group 2) without DHCA. In-hospital mortality was identical in both groups (9.6% versus 6.7%; p = not significant) whereas postoperative transient neurologic events were significantly more frequent in group 1 (6.7% versus 0%; p < 0.05). Midterm clinical outcome was not different between groups but QOL showed significant impairment in daily functional physical and emotional activity in group 1 patients compared with group 2 and an age-matched standard population.
Conclusions. The risk of transient neurologic complications is significantly increased with the use of DHCA and QOL is impaired without benefits in the long-term outcome especially among older patients.
This article has been cited by other articles:
|
|
 |
|
  E. S. Krahenbuhl, F. F. Immer, M. Stalder, L. Englberger, F. S. Eckstein, J. Schmidli, and T. P. Carrel Technical advances improved outcome in patients undergoing surgery of the ascending aorta and/or aortic arch: ten years experience Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 595 - 599. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. S. Krahenbuhl, F. F. Immer, M. Stalder, L. Englberger, F. S. Eckstein, and T. P. Carrel Temporary neurological dysfunction after surgery of the thoracic aorta: a predictor of poor outcome and impaired quality of life Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 1025 - 1029. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Dick, D. Hinder, F. F. Immer, C. Hirzel, D. D. Do, T. P. Carrel, and J. Schmidli Outcome and quality of life after surgical and endovascular treatment of descending aortic lesions. Ann. Thorac. Surg., May 1, 2008; 85(5): 1605 - 1612. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. F. Immer, B. Moser, E. S. Krahenbuhl, L. Englberger, M. Stalder, F. S. Eckstein, and T. Carrel Arterial access through the right subclavian artery in surgery of the aortic arch improves neurologic outcome and mid-term quality of life. Ann. Thorac. Surg., May 1, 2008; 85(5): 1614 - 1618. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R. Brinster, R. J. Rizzo, and R. M. Bolman III Ascending Aortic Aneurysms Card. Surg. Adult, January 1, 2008; 3(2008): 1223 - 1250. [Full Text]
|
|
|
|
|
|
M. Stalder, S. Staffelbach, F. F. Immer, L. Englberger, P. A. Berdat, F. S. Eckstein, and T. P. Carrel Aortic Root Replacement Does Not Affect Outcome and Quality of Life Ann. Thorac. Surg., September 1, 2007; 84(3): 775 - 781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. K. Harrington, F. Fragomeni, and R. S. Bonser Cerebral Perfusion Ann. Thorac. Surg., February 1, 2007; 83(2): S799 - S804. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Polvani, F. Barili, L. Dainese, V. K. Topkara, F. H. Cheema, E. Penza, S. Ferrarese, A. Parolari, F. Alamanni, and P. Biglioli Reduction Ascending Aortoplasty: Midterm Follow-Up and Predictors of Redilatation Ann. Thorac. Surg., August 1, 2006; 82(2): 586 - 591. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Robicsek, J. W. Cook, M. K. Reames Sr, and E. R. Skipper Size reduction ascending aortoplasty: Is it dead or alive? J. Thorac. Cardiovasc. Surg., October 1, 2004; 128(4): 562 - 570. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. F. Immer, C. Lippeck, H. Barmettler, P. A. Berdat, F. S. Eckstein, B. Kipfer, H. Saner, J. Schmidli, and T. P. Carrel Improvement of Quality of Life After Surgery on the Thoracic Aorta: Effect of Antegrade Cerebral Perfusion and Short Duration of Deep Hypothermic Circulatory Arrest Circulation, September 14, 2004; 110(11_suppl_1): II-250 - II-255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. F. Immer, P. A. Berdat, A. S. Immer-Bansi, F. S. Eckstein, S. Muller, H. Saner, and T. P. Carrel Benefit to quality of life after Off-Pump versus On-Pump coronary bypass surgery Ann. Thorac. Surg., July 1, 2003; 76(1): 27 - 31. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. F. Immer, A. G. Bansi, A. S. Immer-Bansi, J. McDougall, K. J. Zehr, H. V. Schaff, and T. P. Carrel Aortic dissection in pregnancy: analysis of risk factors and outcome Ann. Thorac. Surg., July 1, 2003; 76(1): 309 - 314. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
