A Comparative Study of the Early and Short-Term Outcomes of Aortic Replacement in Patients with Stanford type A Aortic Dissection and Ascending Aortic Aneurysm.

Erfan Omer Anwar; Shkar Raouf Haji Saeed; Aram Baram .

doi:10.24017/Science.2022.2.1

Authors

Erfan Omer Anwar Sulaimani Cardiac Hospital, Sulaimani General Directorate of Health, Ministry of Health Sulaimani, Iraq Author
Shkar Raouf Haji Saeed Department of Surgery ,College of Medicine ,University of Sulaimani, Sulaimani, Iraq Author
Aram Baram . Department of Surgery, College of Medicine, University of Sulaimani, Sulaimani, Iraq Author

DOI:

https://doi.org/10.24017/Science.2022.2.1

Keywords:

Aorta, Ascending Aorta, Aortic Dissection, Early Mortality and mordibity

Abstract

Ascending aortic replacement is a challenging and complex surgery. The mortality, morbidity, and outcomes depend on the causes of the ascending aortic pathology and the type of operation. The research was conducted in a single-center, prospective, observational cohort study of patients undergoing ascending aortic replacement due to dissection or aneurysm. In the hospital, mortality, morbidity, and short-term outcomes were measured. A total of 85 patients were included in this study. Of them, 65.9% were male, and 34.1% were female. Thirty-three patients had Stanford type A aortic dissection (STAAD), whereas 52 had ascending aortic aneurysm (ASAA). Early mortality was (21.21% and 1.9%) for STAAD and ASAA, respectively, while the survival rate after one year was (75.8% and 96.15 %) for ascending dissection and aneurysm, respectively. The results of our study show higher early surgical mortality and morbidity and a lower short-term survival rate for STAAD surgery compared with ASAA surgery.