Fate of aortic valve in surgical management of type a aortic dissection / Mina Sameh Aiad Wahba ; Supervised Said Abdalaziz Badr , Tarek Ahmed Nosair , Alaa Eldin Farouk
Material type: TextLanguage: English Publication details: Cairo : Mina Sameh Aiad Wahba , 2014Description: 155 P. : charts , facsimiles ; 25cmOther title:- مصير الصمام الأورطى فى المعالجة الجراحية للنوع أ من انشطار الشريان الأورطى [Added title page title]
- Issued also as CD
Item type | Current library | Home library | Call number | Copy number | Status | Date due | Barcode | |
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Thesis | قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.05.Ph.D.2014.Mi.F (Browse shelf(Opens below)) | Not for loan | 01010110067326000 | |||
CD - Rom | مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.05.Ph.D.2014.Mi.F (Browse shelf(Opens below)) | 67326.CD | Not for loan | 01020110067326000 |
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Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery
To assess the outcome of 3 different surgical approaches for treatment of aortic dissection type A. Between October 2012 and February 2014, we operated on 80 patients (pts) for acute and chronic aortic dissection. Follow - up was complete for 66 pts (82.5%). Supracoronary replacement of the ascending aorta was applied to 46 pts, 15 pts received a composite replacement (modified bentall procedure), and 19 pts were treated with the aorta valve - sparing (tirone david 1) reimplantation technique. Pts in SCR were older compared with TD and bentall (P = 0.003), gender (overall 83.8% male, P = 0.331) presence of BAV (overall 6.3%, p = 0.001) and presence of Marfan syndrome (overall 15%, P = 0.001) were comparable. Arterial cannulation more often via femoral artery (83.8%). Mean operation time, extracorporeal circulation time, and aortic cross - clamp time differ significantly between groups (P = 0.010, P = 0.001 and P = 0.013 respectively). also Stay in the intensive care unit (P = 0.022) and time of hospitalization (P = 0.045) were comparable show significant difference. Overall perioperative mortality was 17.5% and did not show significant differences between groups TD 21.1% versus bentall 13.3% versus SCR 18.2%; P- 0.842
Issued also as CD
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