Early and late outcomes of repaired acute DeBakey type I aortic dissection after graft replacement

摘要: Abstract Objective The present study aimed to determine the impact of extent graft replacement on early and late outcomes in acute DeBakey type I aortic dissection. Methods Between October 1999 July 2014, 197 consecutive patients were surgically treated for (hemiarch, partial, or total arch replacement) was mainly determined by location primary entry. Early results compared after (n = 88) combined hemiarch partial replacement: non–total (n = 109). Results in-hospital mortality rates groups 10.2% 14.7%, respectively ( P  = .47). Multivariate analysis revealed preoperative cardiopulmonary resuscitation visceral organ malperfusion as significant risk factors mortality, but not replacement. During a mean follow-up period 60 ± 48 months, 5-year survivals 88.6% ± 4.2% 83.8% ± 4.4%,  = .54). Rates distal events (defined freedom from surgery aorta dilation diameter expanding 50 mm) at 5 years significantly better group than (94.9% ± 3.5% vs 83.6% ± 4.9%,  = .01). Conclusions operative with dissection acceptable good long-term survival both frequency might be reduced