High perioperative lactate levels as a potential predictor for severe acute kidney injury following aortic arch surgery.

ABSTRACT:

Background

Acute type A aortic dissection (ATAAD) is a life-threatening condition that often requires total aortic arch replacement (TAR) combined with frozen elephant trunk (FET) implantation. Despite advancements in surgical techniques and preoperative management, postoperative acute kidney injury (AKI) remains a prevalent complication that significantly affects patient prognosis, particularly severe AKI. The aim of this study was to investigate the predictive value of perioperative lactate levels in severe postoperative AKI after TAR.

Methods

A cohort analysis of 328 patients who underwent TAR with frozen elephant trunk implantation at Xijing Hospital, Xi'an, China, between September 2019 and September 2023 was conducted. Patients were categorized according to AKI severit

SUBMITTER: Wang D 

PROVIDER: S-EPMC11743281 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature