Table 3.
Surgical Management of 1,058 Patients With ATAAD
| Overall (N = 1,058) | DeBakey I (n = 893) | DeBakey II (n = 165) | P Value | |
|---|---|---|---|---|
| Ascending replacement alone | 17 (1.6) | 6 (0.7) | 11 (6.7) | <0.001 |
| Aortic root procedure | ||||
| Bentall | 216 (20.4) | 183 (20.5) | 33 (20.0) | 0.969 |
| VSRR | 37 (3.5) | 26 (2.9) | 11 (6.7) | 0.029 |
| Partial arch repair | 51 (4.8) | 28 (3.1) | 23 13.9) | <0.001 |
| Total arch repair | 938 (88.7) | 829 (92.8) | 109 (66.1) | <0.001 |
| Total arch repair alone | 24 (2.3) | 729 (81.6) | 95 (57.6) | <0.001 |
| Hybrid arch repair | 114 (10.8) | 100 (11.2) | 14 (8.5) | 0.37 |
| Frozen elephant trunk | 800 (75.6) | 711 (79.6) | 89 (53.9) | <0.001 |
| Concomitant surgery | ||||
| CABG | 159 (15.0) | 137 (15.4) | 22 (13.3) | 0.582 |
| Extra-anatomic bypass | 32 (3.0) | 32(3.6) | 0 (0.0) | 0.026 |
| Surgery time, h | 6.83 (5.75-8.33) | 6.96 (5.91- 8.42) | 6.38 (5.17- 7.75) | 0.001 |
| CPB time, min | 190 (156.25-230) | 195 (162- 235) | 162 (130- 196) | <0.001 |
| ACC time, min | 118 (94-145) | 120 (97- 146) | 102 (76.75- 138) | <0.001 |
| HCA time, min | 17 (10-22) | 16 (11- 21) | 17 (0.5- 26.5) | 0.779 |
| Blood loss, mL | 690 (600-900) | 750 (600- 900) | 630 (484.25- 900) | <0.001 |
| Reb blood cell input, U | 2 (0-4) | 0 (0- 4) | 1.50 (0- 4) | 0.294 |
| Plasma input, mL | 400 (0-600) | 400 (0- 600) | 400 (0- 600) | 0.705 |
| Platelet input, U | 1 (1- 2) | 1 (1- 1.75) | 1 (1- 1) | 0.526 |
Values are n (%) or median (IQR).
ACC = aortic cross clamp; CABG = coronary artery bypass graft; CPB = cardiopulmonary bypass; HCA = hypothermic circulatory arrest; VSRR = valve-sparing root replacement; other abbreviation as in Table 1.