From: Partial upper sternotomy for extensive arch repair in older acute type A aortic dissection patients
Variables | Overall (n = 222) | Full sternotomy (n = 95) | Partial upper sternotomy (n = 127) | P value |
---|---|---|---|---|
Operative data | ||||
Cardiopulmonary bypass (min) | 141.0 (125.0, 168.0) | 155.0 (133.0, 180.0) | 133.0 (120.0, 160.0) | < 0.001 |
Cross-clamp time (min) | 51.0 (39.0, 65.3) | 61.0 (50.0, 68.0) | 44.0 (36.0, 58.0) | < 0.001 |
Selective cerebral perfusion time (min) | 15.0 (11.0, 21.0) | 21.0 (18.0, 25.0) | 11.0 (10.0, 14.0) | < 0.001 |
Aortic root procedure | ||||
Bentall (n, %) | 18 (8.1) | 8 (8.4) | 10 (7.8) | 0.307 |
Aortic valve repalcement (n, %) | 4 (1.8) | 0 (0.0) | 4 (3.1) | 0.217 |
Reconstruction of sinus of Valsava (n, %) | 110 (49.5) | 45 (47.4) | 65 (51.2) | 0.271 |
Postoperative data | ||||
Mediastinal drainage (ml) | 400.0 (300.0, 585.0) | 500.0 (370.0, 700.0) | 350.0 (300.0, 450.0) | < 0.001 |
Red blood cell transfusion(unit) | 4.0 (4.0, 6.0) | 6.0 (4.0, 8.0) | 4.0 (3.0, 6.0) | < 0.001 |
Ventilator-supporting time (hours) | 57.0 (35.8, 80.3) | 57.0 (35.0, 96.0) | 57.0 (36.0, 76.0) | 0.469 |
ICU stay time (days) | 5.0 (3.0, 9.0) | 5.0 (3.0, 7.0) | 6.0 (4.0, 9.0) | 0.184 |
Re-do for bleeding (n, %) | 3 (1.4) | 3 (3.2) | 0 (0.0) | 0.153 |
Neurologic dysfunction (n, %) | 15 (6.8) | 6 (6.3) | 9 (7.1) | 0.821 |
Acute kidney injury (n, %) | 40 (18.0) | 16 (16.8) | 24 (18.9) | 0.693 |
Hepatic insufficiency (n, %) | 61 (27.5) | 33 (34.7) | 28 (22.0) | 0.036 |
Gastrointestinal hemorrhage (n, %) | 32 (14.4) | 20 (21.1) | 12 (9.4) | 0.015 |
Tracheotomy (n, %) | 10 (4.5) | 4 (4.2) | 6 (4.7) | 0.999 |
Early death (n, %) | 18 (8.1) | 9 (9.5) | 9 (7.1) | 0.519 |