Novaes Fernando Rotatori, Navarro Tulio Pinho, Bernardes Rodrigo de Castro, Pinto Fernando Antonio Roquete Reis, Lima Luiz Cláudio Moreira, Monteiro Ernesto Lentz da Silveira, Medeiros Carla Patrícia Perpétua
Unit of Montes Claros/MG public hospital (Santa Casa), Montes Claros, MG, Brazil.
Rev Bras Cir Cardiovasc. 2013 Jun;28(2):176-82. doi: 10.5935/1678-9741.20130026.
To demonstrate surgical results using Castro Bernardes intraluminal ring in ascending aorta surgery, instead of conventional suture.
95 patients underwent ascending aorta surgery from December 2008 to April 2011 at Madre Tereza Hospital (Belo Horizonte, MG, Brazil), using Castro Bernardes intraluminal ring instead of conventional suture of the aorta.
Ninety five patients underwent ascending aorta surgery with Castro-Bernardes intraluminal ring. Thirty patients presented acute dissection and 65 aneurism. Overall postoperative mortality was 15.78% (15/95). Nine patients in 15 (60%) died due to acute type A dissection. For acute type A dissection, mortality was 30% and for aneurism mortality was 9.23%. The intraluminal ring was inserted in distal position in 89 patients and in proximal and distal position in 6 patients. Mortality was related to Bentall & De Bono or Cabrol associated techniques. Average extracorporeal circulation time was 57.4 minutes and average aortic cross-clamping time was 37 minutes.
The use of Castro Bernardes intraluminal ring in ascending aortic surgery avoiding conventional suture reduces extracorporeal circulation time and aortic cross-clamping time, improving surgical results. This approach simplifies ascending aortic surgery whether the disease is type A dissection or aneurysm, and may be considered a good alternative technique.
证明在升主动脉手术中使用卡斯特罗·贝尔纳德斯腔内环代替传统缝合的手术效果。
2008年12月至2011年4月期间，95例患者在巴西米纳斯吉拉斯州贝洛奥里藏特市的特雷莎圣母医院接受升主动脉手术，使用卡斯特罗·贝尔纳德斯腔内环代替主动脉的传统缝合。
95例患者接受了使用卡斯特罗 - 贝尔纳德斯腔内环的升主动脉手术。30例为急性夹层，65例为动脉瘤。总体术后死亡率为15.78%（15/95）。15例中有9例（60%）因急性A型夹层死亡。急性A型夹层的死亡率为30%，动脉瘤的死亡率为9.23%。89例患者的腔内环插入远端位置，6例患者的腔内环插入近端和远端位置。死亡率与Bentall & De Bono或Cabrol相关技术有关。平均体外循环时间为57.4分钟，平均主动脉阻断时间为37分钟。
在升主动脉手术中使用卡斯特罗·贝尔纳德斯腔内环避免传统缝合可减少体外循环时间和主动脉阻断时间，改善手术效果。无论疾病是A型夹层还是动脉瘤，这种方法都简化了升主动脉手术，可被视为一种良好的替代技术。
