@Article{Widenka2008,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="5",
number="3",
year="2008",
title="Kardiochirurgia dorosłychElective surgery for aneurysm of the ascending aorta and arch \– early results",
abstract="   Background:  Aneurysm of the ascending aorta is often a concomitant disease. It is commonly believed that replacement of the aorta is a high-risk procedure. Therefore it is often avoided during complex procedures.    Aim:  To assess the early results of the elective operation for aneurysm of the ascending aorta and aortic arch as a concomitant procedure.   Material and Methods:  This retrospective study included  52 patients (40 men, 12 women), mean age 62.5\±10.45 years, undergoing elective ascending and aortic arch aneurysm  operations (50 ascending aorta aneurysms, 1 ascending and arch aneurysm, 1 arch aneurysm). Mean Euro score log. was 12.8\±8.17% and EF 53.3\±9.62%. Mean diameter of the ascending aorta was 53.1\±8.66 mm. Mean cross-clamp time and CPB time were 87.0\±30.03 and 120.6\±32.20 min. respectively.   Results:  There was no hospital mortality. 48 patients (86.28%) received anti-fibrinolytic therapy; mean chest tube drainage was 847.6\±410.73 ml. 1 patient required re-exploration for bleeding. Mean need of blood and plasma transfusion was 2.9\±1.40 and 2.4\±0.77 units respectively.  Mean ICU and hospital length of stay were 2.8 (\±2.40) and  7.9 (\±3.12) days respectively. The following complications were observed in the ICU: atrial fibrillation \– 14 patients (26.92%); low output syndrome \– 2 (3.85%), one of whom required IABP; pneumonia \– 2 (3.85%); VF \– 1 (1.92%). We did not observe neurological events except for 2 postoperative confusions (3.85%). There was 1 episode of acute transient renal failure  requiring haemofiltration (1.92%). The following complications were recorded in the ward: atrial fibrillation \– 11 patients (20%); hydrothorax \– 5 patients (9.61%); infection of urinary system \– 3 patients (5.77%). Other less common complications were: cholecystitis (n=1), laryngitis (n=1), confusion (n=1), tachybrady syndrome (n=1), sternal  wound infection (n=1), and transient increase of creatinine  level up to 1.7 mg/dl (n=1).   Conclusions:  In view of the low mortality and morbidity, ascending aortic replacement in addition to other cardiac  procedures should be recommended if the ascending aortic diameter exceeds 45 mm.",
author="Widenka, Kazimierz
and Stącel, Tomasz
and Kolowca, Maciej
and Szymanik, Izabela
and Mazur, Witold
and Bąk, Janusz
and Kurowicki, Arkadiusz
and Stożyński, Nikodem
and Żurek, Sławomir
and Oliwa, Maciej",
pages="257--261",
url="https://www.termedia.pl/Kardiochirurgia-doroslych-Elective-surgery-for-aneurysm-of-the-ascending-aorta-and-arch-8211-early-results,40,10991,1,1.html"
}