Hybrid treatment with complete transposition of supra-aortic trunks versus conventional surgery for the treatment of aortic arch aneurysm
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Universidade Federal de Minas Gerais
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Objective: The disease of the aortic arch is traditionally approached by open surgical repair requiring cardiopulmonary bypass and circulatory arrest. This study performed a retrospective analysis comparing outcomes through primary hybrid patients submitted to aortic arch surgery without cardiopulmonary bypass with patients submitted to conventional open surgery. Methods: 25 patients submitted to the aortic arch surgery were selected in the period 2003-2012 at the Madre Teresa Hospital in the city of Belo Horizonte, Brazil; 13 of these underwent hybrid technique without cardiopulmonary bypass and 12 underwent conventional open surgery. Results: The mortality rate for the hybrid group was 23% and for the conventional surgery group was 17% (P=0.248). The postoperative complication rate was also similar in both groups, with no significant difference. Conclusion: Both techniques proved to be similar in mortality and morbidity. However, due to the small sample, more analytical studies with larger samples and long-term follow-up are needed to clarify this issue.
Abstract
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Aneurisma Aórtico, Aorta, Procedimentos Cirúrgicos Cardiovasculares, Procedimentos Endovasculares
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Aortic Aneurysm, Aorta, Thoracic, Cardiovascular Surgical Procedures, Endovascular Procedures
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https://www.scielo.br/j/rbccv/a/KKP33hsKJ7PWWCn7J4jDb8S/?lang=en