Unilateral is comparable to bilateral antegrade cerebral perfusion in acute type A aortic dissection repair.

ABSTRACT:

Objective

To compare the short- and long-term outcomes of unilateral and bilateral antegrade cerebral perfusion (uni-ACP and bi-ACP) in acute type A aortic dissection (ATAAD) repair.

Methods

From 2001 to 2017, 307 patients underwent surgical repair of an ATAAD using uni-ACP (n = 140) and bi-ACP (n = 167). Data were collected through the Department of Cardiac Surgery Data Warehouse, medical record review, and the National Death Index database.

Results

The demographics and preoperative comorbidities were similar between the uni-ACP and bi-ACP groups. Both groups had similar rates of procedures for aortic valve/root, ascending aorta, frozen elephant trunk, and other concomitant procedures. Perioperative outcomes were not significantly different between the 2 groups (30-d

SUBMITTER: Norton EL 

PROVIDER: S-EPMC7061338 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature