Journal of cardiothoracic surgery · 2026
Partial cardiopulmonary bypass in thoracoabdominal aorta repair: a safe alternative in a low-volume center.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nunez-Ordonez Nicolas, Senosiain Julian, Sarmiento Juan Andres, Villa Carlos A, Obando Carlos, Chalela Tomas, Palomino Mauricio, Ortigoza-Espitia Sergio A, Pineda-Rodriguez Ivonne, Sandoval Nestor, Camacho-Mackenzie Jaime
Аннотация
OBJECTIVE: To describe postoperative outcomes with the use of partial CPB for thoracoabdominal aortic repair.
METHODS: We included all the patients who underwent programmed thoracoabdominal aortic procedures in which partial cardiopulmonary bypass was used at a single institution. Long term follow-up was collected by review of health records, national databases and via telephone.
RESULTS: The study involved 134 patients. Hypertension was present in 78% of patients. The primary surgical indication was an aortic aneurysm (67%), though aortic dissection was also common (33%). Extensive repairs and postoperative complications, such as acute kidney injury and RRT requirement, were significantly associated with increased mortality (p < 0.05). Patients with aortic dissection had worse outcomes, including higher rates of hypertension, stroke, and other complications (p < 0.05). Early mortality was notably higher in extent and II and IV repairs.
CONCLUSIONS: Thoracoabdominal aorta repair can be safely performed with the use of partial CPB in a low-volume setting when undertaken by a dedicated, experienced Aorta team.
METHODS: We included all the patients who underwent programmed thoracoabdominal aortic procedures in which partial cardiopulmonary bypass was used at a single institution. Long term follow-up was collected by review of health records, national databases and via telephone.
RESULTS: The study involved 134 patients. Hypertension was present in 78% of patients. The primary surgical indication was an aortic aneurysm (67%), though aortic dissection was also common (33%). Extensive repairs and postoperative complications, such as acute kidney injury and RRT requirement, were significantly associated with increased mortality (p < 0.05). Patients with aortic dissection had worse outcomes, including higher rates of hypertension, stroke, and other complications (p < 0.05). Early mortality was notably higher in extent and II and IV repairs.
CONCLUSIONS: Thoracoabdominal aorta repair can be safely performed with the use of partial CPB in a low-volume setting when undertaken by a dedicated, experienced Aorta team.