Surgical treatment of type A aortic dissection with polycystic kidney
Cheng Peng
Ge Yipeng
Qi Ruidong
Zhong Yongliang
Qiao Zhiyu
Li Chengnan
Zhu Junming
Abstract：Objective To analyze the surgical effect on patients with type A aortic dissection complicated with polycystic kidney. Methods Eleven patients with type A aortic dissection complicated with congenital polycystic kidney were observed in Beijing Anzhen Hospital,Capital Medical University from November 2014 to March 2018. One patient died of rupture of aortic dissection; 1 patient had conservative treatment; 9 patient received surgery. General data,surgical results and follow-up outcomes were analyzed. Results There were 6 males and 3 females with an average age of (46 ± 10) years. Among the 9 patients,6 patients underwent aortic root replacement(Bentall); 3 patients underwent ascending aorta replacement; 1 patient underwent partial aortic arch replacement; 8 patients underwent total aortic arch replacement plus stent implantation; mitral valve replacement, tricuspid valvuloplasty and left common carotid artery-left vertebral artery bypass were performed in 1 patient respectively. Average operation time was (480 ± 105) min; cardiopulmonary bypass time was (229 ± 32) min; aortic occlusion time was (122 ± 32) min; selective cerebral perfusion time was (20 ± 11 ) min. All patients completed the operation; 1 patient died in hospital. There was 1 case of renal insufficiency,2 cases of hypoxemia and 1 case of cerebral infarction occurring after operation. The follow-up rate was 100％; no secondary aortic surgery and renal failure occurred during 48 months to 6 months of follow-up. Conclusion Surgical treatment with hypothermic circulatory arrest has a good short-term effect on type A aortic dissection with polycystic kidney.
Keywords：Type A aortic dissectionPolycystic kidneySurgical treatment
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 690-692 )