2017 Volume 45 Issue 3 Pages 161-166
Objectives: The purpose of this study is to evaluate the operative outcomes of conventional total aortic arch repair and hybrid arch repair.
Methods: Between July 2009 and October 2014, 48 consecutive patients underwent aortic arch repair (excluding hemiarch or partial arch reconstruction ) at St. Marianna university hospital. We categorized 38 total aortic arch repair with antegrade cerebral perfusion under circulatory arrest as T group and 10 hybrid aortic arch repair with thoracic endovascular aortic repair as H group. Then, we compared early outcomes between T and H groups.
Results: Preoperatively, patient ages and Japan risk scores for mortality and major complications were significantly higher in H group than in T group (69.2±9.9 years vs 77.9±4.2 years; P. .0003 and 21.3±12.0 vs 37.8±16.2; P. <0.001). There were no significant differences in 30-day and in-hospital deaths between the T and H groups (0% [0/38] vs 0% [0/10]; P. >.99 and 2.6% [1/38] vs 10.0% [1/10]; P. .2995). Although there were no significant differences in the incidences of other major complications, low output syndrome and spinal infarction were observed more frequently in H group (0% [0/38] vs 10.0% [1/10]; P. .0049 and 0% [0/38] vs 10.0% [1/10]; P. .0049) compared with T group.
Conclusions: Although there were more high risk patients in H group than in T group, early operative mortalities were equivalent in both groups.
