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