Short- and mid-term outcomes of aortic arch reconstruction: Beating
heart versus cardiac arrest
Abstract
Objectives: We aimed to compare the short- and mid-term results of
perfusion strategies used for arch reconstruction surgery. Material and
Methods: One hundred and seventy-three consecutive patients who
underwent aortic arch reconstruction surgery for transverse arcus
hypoplasia between January 2011 and February 2020 were retrospectively
analyzed. The patients were divided into two groups, as beating heart
group and cardiac arrest group. Results: The cardiac arrest group
comprised 60 (35%) patients and the remaining 113 (65%) patients were
in the beating heart group. The median age of the patients was 30 (IQR
18–95) days. The incidences of acute renal failure and delayed sternal
closure were higher in the cardiac arrest group
(P = 0.05,P < 0.001 respectively). Balloon angioplasty was
performed in 5 (2%) patients and reoperation was performed in 11 (6%)
patients due to restenosis. There were no statistically significant
differences between the two groups in terms of reoperation or
reintervention rates (P = 0.44 and 0.34, respectively). Conclusions:
Both strategies were associated with satisfactory mid-term prevention of
reintervention and reoperation. Given the lower incidence of acute renal
failure and delayed sternal closure in the postoperative period and
similar mid-term outcomes, we believe that the beating heart strategy is
preferable.