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. 2021 Sep;18(3):159-164.
doi: 10.5114/kitp.2021.109395. Epub 2021 Oct 5.

Open aortic arch surgery: 10 years' single-center experience

Radosław Gocoł  1 , Jarosław Bis  1   2 , Damian Hudziak  1 , Magda Piekarska  1   2 , Łukasz Morkisz  1 , Marek A Deja  1   2
Affiliations

Open aortic arch surgery: 10 years' single-center experience

Radosław Gocoł et al. Kardiochir Torakochirurgia Pol. 2021 Sep.

Abstract

Introduction: Open aortic arch surgery is a complex cardiac surgical procedure.

Aim: We reviewed the 10-year outcomes of elective aortic arch aneurysm surgery in a single cardiac surgical center.

Material and methods: The analysis includes all patients who underwent elective aortic arch surgery at our institution between January 2010 and December 2020. The study population was divided into group A consisting of patients operated on during the first 5 years, and group B, including patients operated on during the subsequent 5 years. The groups were compared with regard to baseline characteristics, scope of the surgery, operative and postoperative data as well as morbidity and mortality.

Results: Eighty-six elective aortic arch procedures were performed during the analyzed period, including 25 (29%) patients in group A and 61 (71%) patients in group B. The hemiarch procedure was more frequently performed in group A (17 patients, 68%) in comparison to group B (21 patients, 34%) (p = 0.008). Stroke was recorded in 6 (20%) patients from group A and 5 (8.2%) patients from group B (p = 0.002). Five-year survival was 60 ±9.8% for group A, and 81 ±6.2% for group B (log-rank test, p = 0.003).

Conclusions: After completion of the learning curve, open aortic arch surgery is associated with acceptable early mortality, low incidence of stroke, and a high 5-year survival rate.

Keywords: aortic arch aneurysm; hemiarch replacement; total arch replacement.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Open aortic arch surgery: A – hemiarch technique, B – total arch replacement with FET (Frozen Elephant Trunk, Evita Open System), C – total arch replacement, separate arch vessel anastomoses, D – Dacron patch
Figure 2
Figure 2
Comparison of hemiarch and total arch replacement in groups A (A) and B (B)
Figure 3
Figure 3
Kaplan-Meier survival curves with 95% CI. The subgroups were compared with the log-rank (Mantel-Cox) test
See this image and copyright information in PMC

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