Gender-specific differences in ascending aortic surgery
https://doi.org/10.29001/2073-8552-2022-37-3-108-113
Abstract
Introduction. According to recent data, thoracic aortic surgery have reduced morbidity and mortality, however, women are at increased postoperative risk of adverse outcomes. Our aim was to evaluate and compare early outcomes in male and female patients undergoing ascending aortic replacement.
Methods. A total of 88 patients, consisting of 54 men (61.4%) and 34 women (38.6%) underwent ascending aortic surgery for non-syndromic aneurysms from January 2013 to December 2021. We analyzed clinical outcomes between males and females.
Results. According to computed tomographic angiography, preoperative normalized aortic diameters were significantly larger in females (2.9 [2.7; 3.2] cm/m2) vs. (2.5 [2.3; 2.6] cm/m2, p < 0.001) in males, without differences in absolute values (51 [49; 53] mm vs. 52 [50; 53] mm, p = 0.356). There were no significant differences in neurological, cardiac, pulmonary, and renal complications in both groups in the early postoperative period. In-hospital mortality was 1.9% and 5.9% (p = 0.307) in male and female patients, respectively.
Conclusions. Ascending aortic surgery for aneurysms below 5.5 cm threshold has tolerable early outcomes both in men and women.
Supporting agencies: Informed consent was obtained from all patients. The study was approved by the Ethics Committee of Cardiology Research Institute of Tomsk NRMC (protocol No. 213 from 12.05.2021).
About the Authors
D. S. Panfilov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dmitri S. Panfilov, Dr. Sci. (Med.), Senior Research Scientist
111a, Kievskaya str., Tomsk, 634012
V. V. Saushkin
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Viktor V. Saushkin, Cand. Sci. (Med.), Senior Research Scientist
111a, Kievskaya str., Tomsk, 634012
E. L. Sonduev
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Erdeni L. Sonduev, Cardiovascular Surgeon
111a, Kievskaya str., Tomsk, 634012
S. I. Sazonova
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Svetlana I. Sazonova, Dr. Sci. (Med.), Senior Research Scientist
111a, Kievskaya str., Tomsk, 634012
B. N. Kozlov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Boris N. Kozlov, Dr. Sci. (Med.), Head of the Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012
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Review
For citations:
Panfilov D.S., Saushkin V.V., Sonduev E.L., Sazonova S.I., Kozlov B.N. Gender-specific differences in ascending aortic surgery. Siberian Journal of Clinical and Experimental Medicine. 2022;37(3):108-113. (In Russ.) https://doi.org/10.29001/2073-8552-2022-37-3-108-113
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