2015
DOI: 10.1055/s-0035-1548734 View full text |Buy / Rent full text
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Abstract: Introduction Acute aortic dissection type A (AADA) is a severe and complex disease that is often linked to diverse, possible complications. Without appropriate surgical treatment approximately 75% of all patients die within 14 days after the onset of symptoms. 1 Because of advances in surgery, anesthesia and medical therapy postoperative outcome is steadily improving. 2-4 Most published literature concerns about surgical outcome, survival of patients, and complications leading to disability. Postoperative QoL … Show more

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“…The SF-36 questionnaire has been used for measurement of QoL after thoracic aortic surgery, 7 – 9 including patients with acute type A aortic dissection who receive open repair 2 , 3 and aortic surgery, 10 as well as patients with abdominal aortic aneurysm repair. 11 , 12 Two studies examined QoL following TEVAR with and without coverage of the left subclavian artery, 13 , 14 and one study investigated QoL by the Swedish Health-Related Quality of Life Survey questionnaire for patients with conservatively treated acute TBAD.…”
Section: Discussionmentioning
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“…The SF-36 questionnaire has been used for measurement of QoL after thoracic aortic surgery, 7 – 9 including patients with acute type A aortic dissection who receive open repair 2 , 3 and aortic surgery, 10 as well as patients with abdominal aortic aneurysm repair. 11 , 12 Two studies examined QoL following TEVAR with and without coverage of the left subclavian artery, 13 , 14 and one study investigated QoL by the Swedish Health-Related Quality of Life Survey questionnaire for patients with conservatively treated acute TBAD.…”
Section: Discussionmentioning
“…TEVAR is mini-invasive, but the effect of other factors on QoL has not been fully evaluated yet. There have only been a few published studies on patients’ QoL after TEVAR, 2 , 3 and postoperative QoL with comparison of acute and subacute TBAD has rarely been considered. Therefore, this study aimed to evaluate the midterm outcomes and QoL in patients with acute and subacute TBAD after TEVAR.…”
Section: Introductionmentioning
“…Более полная оценка эффективности хирургического лечения с целью выбора оптимальной тактики реабилитации может быть произведена исследованием КЖ, поскольку это понятие является многофакторным, включая в себя экономические, психосоциальные, технологические и медицинские аспекты [8].…”
Section: Discussionunclassified
“…При выполнении протезирования восходящего отдела и дуги аорты возникают не только технические сложности (длительность оперативного вмешательства, ИК), но и необходимость защиты центральной нервной системы во время ОК, так как все перечисленные факторы могут повлиять на КЖ данных пациентов [8]. Несмотря на удобство для хирурга выполнения системной гипотермической ОК ("сухое" операционное поле, хороший доступ), данный метод имеет свои недостатки.…”
Section: Discussionunclassified
“…Thus, the perioperative mortality and long-term outcome remain dissatisfaction. [6][7][8][9] One of the causes of poor prognosis is the perioperative abnormal coagulation function. Heparin is necessary for the use of extracorporeal circulation, and it may cause postoperative hemorrhage.Protamine can antagonize the effect of heparin, but it may inhibit platelet function.…”
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