Outcomes of open distal aortic aneurysm repair in patients with chronic DeBakey type I dissection

摘要: Objectives In patients with acute DeBakey type I dissection, endovascular repair of the descending thoracic aorta during proximal aortic is an increasingly popular approach to preventing distal sequelae and subsequent repair. To better define risks outcomes associated these secondary operations, we examined our contemporary experience open in chronic dissection. Methods Data were collected between January 2005 June 2013 regarding 198 consecutive (n = 27) or thoracoabdominal (n = 171) repairs performed The median interval dissection onset operation was 5.0 years (interquartile range, 2.4-10.5 years). A total 110 (56%) genetic disorders. Results There 14 early deaths (7%). Permanent paraplegia developed 2 (1%), 5 (3%) had permanent stroke, 9 (5%) renal failure. Factors death included greater age ( P  = .01), obstructive pulmonary disease = .01), clamping left subclavian artery .004), use hypothermic circulatory arrest .002). cold perfusion Conclusions survivors aneurysm, can be excellent survival, acceptable morbidity, relatively few late events.