Abstract

ECHEVERRY, Eduardo J et al. Experience and results in surgery of type A aortic dissection during a decade in the Fundación Valle del Lili, Cali, Colombia. Rev. Colomb. Cardiol. [online]. 2013, vol.20, n.5, pp.325-330. ISSN 0120-5633.

Background: type A aortic dissection is still a disease with a high risk of death. Therefore it requires prompt diagnosis and immediate surgical management. Objective: to report our experience and results in surgery of type A aortic dissection during a decade. Methods: a descriptive, retrospective study, by reviewing medical records of patients treated between January 2001 and December 2010 was realized. 58 patients diagnosed as type A aortic dissection who met the inclusion criteria were selected, and demographic, clinical, intra and post-operative variables were analyzed. Results: 79.3% of the patients were men, with a median age of 56 years. The mean times for aortic clamp, pump and arrest were 136, 223 and 39 minutes, respectively. The most frequent procedures were ascending aortic replacement and Bentall surgery in 34.5% of cases each one. The median stay in the ICU was six days and overall hospitalization was twelve days. Complications were reported in 36.2% of cases. The main one was sepsis from any cause in 20% of patients. In-hospital mortality was 24% and survival at 28 days was higher than 70%. Conclusions: according to our casuistics, the observed mortality is not very different to that reported in international multicenter registries which remains still high. This fact highlights the importance of early diagnosis and immediate surgical management, implying a significant human and institutional effort.

Keywords : acute aortic syndrome; aortic dissection; cardiac surgery; mortality.

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