Article
Reference
Surgical treatment of type A Acute Aortic Dissection based on Geneva algorithm
DEPBOYLU, Burak Can, et al.
DEPBOYLU, Burak Can, et al . Surgical treatment of type A Acute Aortic Dissection based on Geneva algorithm. Journal of Cardiothoracic Surgery , 2015, vol. 10, no. S1
DOI : 10.1186/1749-8090-10-S1-A313
Available at:
http://archive-ouverte.unige.ch/unige:90199
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M E E T I N G A B S T R A C T Open Access
Surgical treatment of type A Acute Aortic Dissection based on Geneva algorithm
Burak Can Depboylu
1, Leon Finci
1, Patrick O Myers
1, Saziye Karaca
1, Dominique Vala
1, Jalal Jolou
1,
Parmeseeven Mootoosamy
1*, Marck Licker
2, Karim Bendjelid
3, Afksendiyos Kalangos
1, Mustafa Cikirikcioglu
1 FromWorld Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh
Edinburgh, UK. 19-22 September 2015
Background/Introduction
Type A Acute Aortic Dissection (AAAD) is a highly deadly disease. Management of AAAD suspicion is extremely important in order to gain time and increase the likelihood of survival.
Aims/Objectives
The aim of this study is to review our experience based on our local algorithm developed for the assessment and management of patients with AAAD suspicion over the last 8 years.
Methods
All patients who underwent an emergency surgery for AAAD between 2007 and 2014 following our algorithm were assessed (Table). Their clinical situation at admission, evaluation, operative and postoperative data were evalu- ated retrospectively. Continuous variables were expressed as mean ± standard deviation; categorical variables were shown as frequency and percentage.
Results
A total of 68 patients were included during the study per- iod. The mean age was 61 ± 13 years, with 42 men (65%).
Supracoronary ascending aorta replacement was the pri- mary surgical procedure (in 31 patients, 46%). The mean cardiopulmonary bypass, cross clamp and circulatory arrest times were 3.2 ± 1.6, 2.1 ± 1.2 and 0.4 ± 0.2 hours.
Acute renal failure (27, 40%), re-operation (18, 26%) and pneumonia (14, 20%) were the main postoperative com- plications. Mean intensive care unit stay and hospitaliza- tion times were 5.8 ± 6.2 and 26.5 ± 53.5 days. There
were 14 perioperative deaths (21%) and 18 hospital deaths (26%). The 6-year survival was 67.5%.
Conclusion
Our institutional experience in managing AAAD is com- parable to results from other centers. Standardizing management using an algorithm is important to gain time for rapid decision-making and having successful outcomes in centers with limited volume.
Authors’details
1Division of Cardiovascular Surgery, Hospitals and Medical Faculty of Geneva, Geneva, Geneva, 1211, Switzerland.2Division of Anaesthesiology University, Hospitals and Medical Faculty of Geneva, Geneva, Geneva, 1211, Switzerland.
3Division of Intensive Care, Hospitals and Medical Faculty of Geneva, Geneva, Geneva, 1211, Switzerland.
Published: 16 December 2015
doi:10.1186/1749-8090-10-S1-A313
Cite this article as:Depboyluet al.:Surgical treatment of type A Acute Aortic Dissection based on Geneva algorithm.Journal of Cardiothoracic Surgery201510(Suppl 1):A313.
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Submit your manuscript at www.biomedcentral.com/submit 1Division of Cardiovascular Surgery, Hospitals and Medical Faculty of Geneva,
Geneva, Geneva, 1211, Switzerland
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Depboyluet al.Journal of Cardiothoracic Surgery2015,10(Suppl 1):A313 http://www.cardiothoracicsurgery.org/content/10/S1/A313
© 2015 Depboylu et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/
zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Figure 1Decision Algorithm: Suspicion on Acute Type A Aortic Dissection (AAAD).
Depboyluet al.Journal of Cardiothoracic Surgery2015,10(Suppl 1):A313 http://www.cardiothoracicsurgery.org/content/10/S1/A313
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