Feasibility and effectiveness analysis of beating-heart technique in the treatment of non-A-non-B aortic dissection
NIU Tian-yu
XIA Lin
GE Yu-guang
YANG Zhong-lu
LIU Yu
WANG Lu
JIANG Hui
Abstract：Objective To investigate the feasibility and effectiveness of beating-heart technique in non-A-non-B aortic dissection surgery.Methods A total of 38 patients who were diagnosed as non-A-non-B aortic dissection from June 2021 to May 2024 in the General Hospital of the Northern Theater Command were retrospective for this study.There were 30 males and 8 females,aged(51.34±12.19)years,ranging from 26 to 77 years.According to different surgical strategies,the patients were divided into the beating-heart group and the cardioplegic-arrest group.There are 18 patients in the beating-heart group and 20 patients in the cardioplegic-arrest group.Collect preoperative,intraoperative,and postoperative data of patients to observe the feasibility and effectiveness of the beating-heart technique in non-A-non-B aortic dissection surgery.Results The heart of patients in the beating-heart group remained beating during surgery,while the cardiac arrest time of patients in the cardioplegic-arrest group was(59.55±17.00)minutes.Compared with the cardioplegic-arrest group,the patients in the beating-heart group had significantly shorter postoperative ventilation time and ICU stay time,and the troponin T levels on the 2nd and 3rd day after surgery were significantly reduced,the difference was statistically significant(P＜0.05).Conclusion The beating-heart technique has high feasibility and effectiveness for non-A-non-B aortic dissection.
Keywords：Beating-heart surgeryAortic dissectionUpperhemisternotomy approachMyocardial protection
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 341-344 )