Comparison of different surgical approaches for treating aortic graft infections.

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Thoracic and Cardiovascular Surgeon Pub Date : 2024-02-12 DOI:10.1055/a-2266-7574

Yu Xia, Lizhong Sun, Kaitao Jian, Hao Peng, Yi Lin, Wei Liu

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引用次数: 0

Abstract

Background: There is still no guideline or consensus on the treatment of aortic graft infection. This study reported and compared conservative and surgical treatment and different surgical methods for aortic graft infection.

Methods: Data from aortic graft infections treated at our institution between February 2017 and June 2022 were retrospectively analyzed. Clinical data and surgical approaches were evaluated.

Results: This article retrospectively analyzed the treatment and prognosis of 48 patients (43 males) with aortic graft infection. The patients were divided into conservative treatment group (n = 15) and surgical treatment group (n = 33). During follow-up, the mortality rate of the conservative treatment group was significantly higher than that of the surgical treatment group (P<0.05). The survival curve also showed that the survival time of the surgical treatment group was longer than that of the conservative treatment group (P<0.05). The surgical treatment group included local treatment (n=5), in situ replacement (n=8) and bypass surgery (n=20) groups. There was no significant difference in the mortality rate at 1 month or final follow-up among the local treatment, in situ replacement and bypass surgery groups.

Conclusion: Surgical treatment is the optimal option for treating aortic graft infections compared to conservative treatment.

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比较治疗主动脉移植感染的不同手术方法。

背景：关于主动脉移植物感染的治疗，目前还没有指南或共识。本研究报告并比较了主动脉移植物感染的保守治疗和手术治疗以及不同的手术方法：回顾性分析2017年2月至2022年6月期间我院治疗的主动脉移植感染数据。对临床数据和手术方法进行了评估：本文回顾性分析了48例主动脉移植感染患者（43例男性）的治疗和预后。患者分为保守治疗组（15 人）和手术治疗组（33 人）。在随访期间，保守治疗组的死亡率明显高于手术治疗组（结论：手术治疗是治疗主动脉移植感染的最佳方法：与保守治疗相比，手术治疗是治疗主动脉移植感染的最佳选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Thoracic and Cardiovascular Surgeon 医学-呼吸系统

CiteScore

3.40

自引率

6.70%

发文量

365

审稿时长

3 months

期刊介绍： The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.