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Ann Thorac Surg 2002;73:S367
© 2002 The Society of Thoracic Surgeons

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SUPPLEMENT: OUTCOMES 2001: SCIENTIFIC ABSTRACTS

Neurologic outcome in octogenarians after aortic arch repair with hypothermic circulatory arrest

^a Baylor College of Medicine and The Methodist DeBakey Heart Center, Houston, Texas, USA

Introduction. Although increasing numbers of octogenarians are being referred for surgical treatment of transverse aortic arch aneurysms, data regarding this high-risk group of patients are limited. The purpose of this study was to evaluate the neurologic outcomes in octogenarians who underwent aortic arch repair with hypothermic circulatory arrest.

Methods. Over a 12-year period, 703 consecutive patients underwent transverse aortic arch repair with hypothermic circulatory arrest; 13 of these patients (1.9%) were octogenarians. The mean age was 82.1 years (range 80 to 86 years). Three patients (23%) had suffered previous strokes; 1 of these patients presented with chronic embolic strokes. One patient (8%) presented with acute dissection. Aortic repairs consisted of ascending and hemi-arch repair in 9 patients (69%), ascending and elephant trunk arch repair in 3 (23%), and patch repair of the arch in 1 (8%). Retrograde cerebral perfusion was utilized in 6 patients (46%).

Results. There was one operative death (8%). Postoperative neurologic complications occurred in 2 patients (15%). One patient (8%) had a stroke and 1 had seizures after developing sepsis. The median length of stay was 21 days (range 16 to 140 days).

Conclusions. Aortic arch repair with circulatory arrest can be performed with acceptable neurologic outcome in octogenarians.

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by DiBardino, D.J. Articles by Coselli, J.S. Search for Related Content PubMed Articles by DiBardino, D.J. Articles by Coselli, J.S. Related Collections Coronary disease