African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 29

Full Length Research Paper

Risk factors for morbidity and mortality after ascending aorta aneurysms repair

CISS A.G.
  • CISS A.G.
  • Service de chirurgie thoracique et cardiovasculaire CHU Fann Dakar BP 3055
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AZARNOUSH K.
  • AZARNOUSH K.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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CAMILLERI L.
  • CAMILLERI L.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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PEREIRA B.
  • PEREIRA B.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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INNORTA A.
  • INNORTA A.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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LEGAULT A.
  • LEGAULT A.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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GEOFFROY A.
  • GEOFFROY A.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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DE RIBEROLLESC.
  • DE RIBEROLLESC.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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COSSERANT B.
  • COSSERANT B.
  • Service de chirurgie cardio vasculaire CHU de Clermont Ferrand (France)
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N’DIAYE M.
  • N’DIAYE M.
  • Service de chirurgie thoracique et cardiovasculaire CHU Fann Dakar BP 3055
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  • Article Number - 3BEAE3460814
  • Vol.10(1), pp. 7-12, June 2015
  •  Received: 10 February 2015
  •  Published: 30 June 2015

Abstract

Objective: The aim of this study is to assess the mortality and morbidity factors of surgery for ascending aorta aneurysm. Methods: This is a retrospective study of 229 sheet records of patients who underwent ascending aorta replacement for aneurysm; the statistical analyze permitted to assess the mortality and morbidity factors. Results: A replacement of the ascending aorta with the aortic valve (Bentall) was done in 33%, and without replacement of the aortic valve (David) in 15 % of patients. A supra coronary replacement of the aorta was done in 52% of patients while 5 % had the aortic valve not replaced. Preoperative morbidity factors were: addition of medical risk factors, supra coronary replacement of the aorta without replacement of the aortic valve. Post-operative factors were: use of inotropes and long ICU stay. Global mortality, including hospital mortality was 4% (9 patients). The only preoperative factor of mortality was hypothermia and the only post-operative factor decreased ejection fraction. Conclusion: The bad prognosis factors were non treatment of a lesion the aortic valve, ventricular dysfunction and surgery extended to the horizontal aorta.

Keys worlds: mortality, morbidity, aortic aneurysm