Surgical outcomes of acute type A aortic dissection in dialysis patients: lessons learned from a single-center’s experience

Scientific Reports

Lichong Lu¹  Min Ge¹  Zhigang Wang¹  Cheng Chen¹  Dongjin Wang¹  Pingping Ge²  Lifang Zhang³ 

[1] Department of Cardio-Thoracic Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University;Department of General Practice, Nanjing First Hospital, Nanjing Medical University;Department of Psychiatry, The First Affiliated Hospital, Zhengzhou University;

DOI  :  10.1038/s41598-022-09448-7

来源: DOAJ

【 摘 要 】

Abstract There is a paucity of data describing the safety and efficacy of acute type A aortic dissection (ATAAD) repair surgeries in dialysis patients. Our study aimed to investigated the influence of dialysis on early and late outcomes in end-stage renal disease (ESRD) patients who received repair surgery for ATAAD. A total of 882 ATAAD patients who received emergency aortic dissection repair at our center from January 2015 to December 2019 were retrospectively screened in this study and divided into the dialysis group (n = 16) and the non-dialysis group (n = 866), depending on whether they required dialysis for preoperative ESRD. No significant difference of age, preoperative hemodynamics, organ ischemia conditions, operative variables as well as the 30-Day mortality and in-hospital complications was discovered between two groups. However, the survival rates and the proportion of late aortic event (sudden death and reoperation) free population at 1 and 3 years after surgery were significantly decreased in dialysis patients compared to non-dialysis patients. Our study indicated that the short-term surgical outcomes of ATAAD in dialysis patients were comparable to non-dialysis patient. However, the dialysis patients were associated with a worse long-term prognosis.

【 授权许可】

Unknown