Objective: To identify the risk factors of prolonged Intensive Care Unit stay after surgery in patients with the type A acute aortic dissection. Methods:Retrospective analysis of 80 patients, 54 males (67.5%) and 26 females (32.5%) who underwent surgery for the treatment of Stanford type A acute aortic dissection in the cardiovascular department of 2nd affiliated hospital of Zhengzhou university through December 2014 to July 2016 were done. The mean age of the patients was 48.9 ± 12.5 years. The patients were divided into two groups, group A, prolonged (n=13) and group B, nonprolonged (n=67) based on the duration of ICU stay time either above or below 5 days. Univariate and multivariate analysis were done to find out the predictive risk factors. Results:The mean length of ICU stay time was 206.9 ± 25.4 hours in group A and 63.2 ± 17.4 hours in group B respectively. Mortality rate was 15.4% in group A and 3.0% in group B while overall mortality was 5%. ICU stay time was significantly influenced by the following factors; age (P=0.
Objective: Short term clinic-pathological analysis of intracardiac myxoma in 14 cases Material and Methods: From January-2016 to May-2016, 14 patients, 5 males and 9 females, aged 22 ~ 71 mean age (45.1 ± 13.3) years were admitted in our department of cardio-vascular surgery, the second affiliated hospital of Zhengzhou university. All the patients were diagnosed to have myxoma by transthoracic echocardiography. Myxoma was in different positions in the heart, 9 cases in left atrium, 2 cases in right atrium, 2 cases in left ventricule and 1 case in right ventricle. All the patients were performed open heart surgery via midsternal incision under cardiopulmonary bypass with slight hypothermia and myxomas were excised successfully.Result: Myxoma was found most commonly in the left atrium. All the 14 patients were performed open heart surgery as to remove the myxomas. 1 patient died due to acute renal failure and low cardiac output syndrome at 24hr postoperative with perioperative mortality rate of 7.14%. All other patients had uneventful recovery and discharged at postoperative 10-19 days with average hospital stay time of 13.76 days. Conclusion:Myxoma is the most common tumor of the heart which is most frequently located in the left atrium. Careful surgical excision and meticulous removal of myxomatous debris with proper perioperative management is the choice of treatment with minimal early and late morbidity as well as mortality.
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