Mortality and survival in aortic arch surgeries with preservation of supra-aortic vessels: thirteen years of experience / Mortalidade e sobrevida em cirurgias do arco aórtico com preservação de vasos supra-aórticos: treze anos de experiência
Int. j. cardiovasc. sci. (Impr.)
; 31(5)set.-out. 2018. graf
Artigo
em Inglês
| LILACS
| ID: biblio-914706
Biblioteca responsável:
BR44.1
Localização: BR44.1
ABSTRACT
Background:
The aortic arch diseases exhibit high morbidity and mortality rates. Some surgical strategies recommend partial preservation of the aortic arch and the supra-aortic vessels, but the immediate and mediumterm mortality rates of patients undergoing this surgical strategy is uncertain.Objectives:
To compare overall mortality and mid- term survival curve of patients undergoing surgical strategy of partial preservation of the aortic arch and supra-aortic vessels (group A) compared to conventional strategies of the aortic arch approach (group B); to assess cardiovascular mortality over time.Methods:
Descriptive and retrospective study of the medical records of patients undergoing aortic arch repair surgery between February 2000 and July 2013. We analyzed 111 patients, 29 in group A and 82 in group B. The overall survival and survival from cardiovascular events were assessed by Kaplan-Meier test.Results:
In- hospital mortality from any cause was 31% in group A and 29.3% in group B. At 1 year, 2 year, and 5 year general survival was similar between the groups. In-hospital, 2 years and 5 years mortality from cardiovascular causes was 13.8%, 14.8%, e 22.7% in group A and 26.8%, 34.6% e 50.9% in group B. The difference between the groups in 5 years showed statistical significance (p = 0.0234). Survival from cardiovascular causes in 2 years and 5 years was 85.2% and 77,3% in group A and 65.4% and 49,1% in group B. Occurrence of urgent and emergency procedures were greater in group A, but without statistical significance.Conclusions:
There was no difference in all-cause mortality over time between the groups. Group A showed lower cardiovascular mortality at 5 years than group B
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Arranjos de Entrega
/
Doença Cardiovascular
Base de dados:
LILACS
Assunto principal:
Aorta Torácica
/
Aneurisma Aórtico
/
Mortalidade
/
Sobrevivência
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. j. cardiovasc. sci. (Impr.)
Assunto da revista:
Cardiologia
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Casa de Saúde São José/BR
/
Universidade federal do Rio de Janeiro/BR