Title Rizikos veiksnių įtaka ligonių išgyvenimui po kylančiosios aortos aneurizmos korekcijos konduitu /
Translation of Title Effects of risk factors on patients' survival after replacement of ascending aorta aneurysm witli aortic valve insufficiency using conduit.
Authors Čypienė, Rasa Joana ; Semėnienė, Palmyra ; Grebelis, Arimantas ; Turkevičius, Gintaras
DOI 10.15388/LietChirur.2007.3.2204
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Is Part of Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 341-347.. ISSN 1392-0995
Abstract [eng] Objective Risk factors were analyzed for 221 patients after replacement of ascending aorta aneurysm with aortic valve insufficiency using a conduit. Patients and methods Work was accomplished at Vilnius University Heart Surgery Center. Patients were followed up from 1 month to 20 years after operation. By the clinical course they were divided into three groups: group 1 - acute dissecting aortic aneurysm (ADA) - 48 (21.7%); group 2 - chronic dissecting aortic aneurysm (CHDA) - 44 (19.9%); group 3 - chronic aneurysm without dissection (CHAWD) - 129 (58.4%) patients. The mean period of anamnesis was in group 1 - 0.25 ± 0.11 months; group 2 - 24.4 ± 5.26 months; group 3 - 44.6 ± 5.06 months. The preoperational mean functional class in the groups was 4.5 ± 0.08; 4.0 ± 0.12 and 3.5 ± 0.05 respectively. Results There were 14 significant risks factors which have an impact on the survival of patients: age, period of anamnesis, preoperational functional classes, pain over the breastbone, preoperational myocardial infarction Q+, LVDD, LVH, systolic arterial hypertension, cardiopulmonary bypass (CPB) term, head cerebra failure, ejection fraction, ascending aorta diameters. V Correlation analysis showed a close relation between preoperation functional class and CPB term r = 0.374 (p = 0.01). Conclusion Significant risk factors in different group of patients influenced their both in-hospital and follow-up survival.
Type Journal article
Language Lithuanian
Publication date 2007
CC license CC license description