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One-Stage Repair of Adult Aortic Coarctation and Concomitant Cardiac Diseases: Ascending to Abdominal Aorta Extra-Anatomical Bypass Combined with Cardiac Surgery

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收录情况： ◇ SCIE

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机构： [1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China

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关键词： Aortic coarctation Ascending to abdominal aorta bypass Cardiac disease

摘要：

Background: To evaluate one-stage repair with ascending to abdominal aorta extra-anatomical bypass combined with cardiac surgery for adult aortic coarctation (COA) concomitant with cardiac diseases. Methods: Between February 2009 and September 2016, 24 consecutive patients (79.17% male, mean age 36.04 ± 13.67 years) with COA and concomitant cardiac diseases underwent one-stage repair (ascending to abdominal aorta extra-anatomical bypass combined with cardiac surgery). Two patients who underwent off-pump coronary artery surgery combined with ascending to abdominal aorta bypass did not require cardiopulmonary bypass. Twenty-two patients underwent one-stage repair under cardiopulmonary bypass. Results: No in-hospital mortality was observed. There was a significant reduction in baseline systolic blood pressure from 159.80 ± 23.58 to 127.0 ± 6.86 mmHg. Mean upper-lower limb blood gradient pressure decreased significantly from 37.80 ± 8.73 to 11.47 ± 2.12 mmHg after surgery. Two patients required prolonged mechanical ventilation for respiratory dysfunction. One patient needed temporary continuous renal replacement therapy. No re-exploration for bleeding and gastrointestinal complications was needed. There was no postoperative paraplegia or permanent neurological abnormalities. Grafts were patent for all patients and no graft-related complications were observed in the hospital. Median follow-up was 41.50 months [interquartile range (IQR) 16.75–64.50 months] and 6-year survival was 76.39%. Median number of antihypertensive drugs was 0 (IQR 0–1), which was a significant reduction compared with preoperative drugs (2, IQR 1–3). Conclusions: Ascending to abdominal extra-anatomical aorta bypass combined with cardiac surgery is a safe and effective one-stage repair technique for patients with COA concomitant with cardiac diseases. © 2018 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)

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出版当年[2017]版：

大类 | 4 区医学

小类 | 4 区心脏和心血管系统

最新[2025]版：

大类 | 3 区医学

小类 | 4 区心脏和心血管系统

JCR分区：

出版当年[2016]版：

Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

最新[2023]版：

Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子： 2.2 最新[2023版] 2.5 最新五年平均 2.028 出版当年[2016版] 1.731 出版当年五年平均 1.575 出版前一年[2015版] 1.921 出版后一年[2017版]

第一作者：

第一作者机构： [1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China

通讯作者：

通讯机构： [1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China [*1]Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Anzhen Road 2#, Chaoyang District, Beijing, 100029, China.

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