Analysis of early term results of elective ascending aortic aneurysm surgery

Abstract

Amaç: Asendan aort anevrizmaları aort çapının artması ve eşlik eden genetik risk faktörleri ile yüksek mortaliete riski taşımakta olup çalışmamızda bu nedenle opere edilen hastalarımızda cerrahi sonuçlarımızı paylaşmayı amaçladık.

Yöntem: Ağustos 2018- Şubat 2024 tarihleri arasında asendan aort anevrizması nedeniyle elektif olarak opere edilen 45 hastanın demografik, operasyonel ve preoperatif ile postoperatif verileri retrospektif olarak incelendi.

Bulgular: Çalışmaya dahil edilen 45 hastanın yaş ortalaması 58.98 olup %60’ı erkek %40 ise kadın idi. En sık eşlik eden risk faktörleri HT(%55.6) ve sigara kullanımı (%52.4 ) olarak gözlendi. Preoperatif ekokardiyografide 17 hastada ileri Aort Yetmezliği 9 hastada ise ciddi aort darlığı mevcuttu.Objective: Ascending aortic aneurysms carry a high mortality risk with increased aortic diameter and accompanying genetic risk factors. In this study, we aimed to share our surgical results in our patients who were operated for this reason.

Methods: Demographic, operative, preoperative and postoperative data of 45 patients who were electively operated for ascending aortic aneurysm between August 2018 and February 2024 were retrospectively analysed.

Results: The mean age of the 45 patients included in the study was 58.98 years, 60% were male and 40% were female. The most common associated risk factors were HT (55.6%) and smoking (52.4%). Preoperative echocardiography revealed severe aortic regurgitation in 17 patients and severe aortic stenosis in 9 patients. The most common surgical procedures were Weath (42.2%) and Bentall (40%) procedures. Permanent pacemaker requirement and stroke development were not observed in the postoperative period. In 3 patients, reexploration was performed due to bleeding. 30-day in-hospital mortality was 6.7% and 1-year survival of discharged patients was 92.8%.

Conclusion: In-hospital mortality and 1-year survival rates of the operations performed in our clinic are compatible with the studies in the literature, but more patient data and longer follow-up periods are required.