Table 1 The baseline clinical characteristics of patients

From: Propensity score matching analysis of valve-sparing versus aortic root replacement in type A aortic dissection patients

Subgroup

ARR group (n = 499)

VSSR group (n = 244)

P-value

n or mean

% or σ

n or mean

% or σ

Preoperative data

DeBakey

    

0.299

I

364

72.95%

169

69.26%

 

II

135

27.05%

75

30.74%

 

Age(years)

60.09

7.64

54.99

2.54

<0.001

BMI

26.78

3.14

25.03

3.31

0.001

Sex

    

0.096

Male

319

63.93%

171

70.08%

 

Female

180

36.07%

73

29.92%

 

Race(Asian)

499

100.00%

244

100.00%

/

Education level

    

0.532

Master degree or above

4

0.80%

0

0.00%

 

Undergraduate course

56

11.22%

24

9.84%

 

Junior college

106

21.24%

58

23.77%

 

Secondary and high schools

146

29.26%

66

27.05%

 

Junior high school and below

187

37.47%

96

39.34%

 

History of smoking

    

0.159

One cigarette a few days

13

2.61%

6

2.46%

 

One cigarette a day

15

3.01%

8

3.28%

 

2–3 cigarettes a day

20

4.01%

9

3.69%

 

4-10 cigarettes a day

35

7.01%

15

6.15%

 

10-20 cigarettes a day

231

46.29%

106

43.44%

 

More than 20 cigarettes a day

51

10.22%

22

9.02%

 

History of alcohol intake

170

34.07%

88

36.07%

0.592

Hypertension

414

82.97%

210

86.07%

0.267

Diabetes

56

11.22%

21

8.61%

0.254

Chronic kidney diseases

81

16.23%

22

9.02%

0.007

Peripheral vascular diseases

45

9.02%

11

4.51%

0.037

Cerebrovascular diseases

59

11.82%

8

3.28%

<0.001

LVEF

52.85

5.97

53.15

6.1

0.527

Marfan syndrome

34

6.81%

7

2.87%

<0.001

Malperfusion syndrome

88

17.64%

47

19.26%

0.613

Brain

12

2.40%

5

2.05%

 

Coronary artery

16

3.21%

9

3.69%

 

Renal

23

4.61%

10

4.10%

 

Superior mesenteric artery

2

0.40%

2

0.82%

 

Lower extremity

35

7.01%

21

8.61%

 

Coronary Artery Stenosis

    

0.477

Moderate(50–70%)

18

3.61%

6

2.46%

 

Severe(>70%)

17

3.41%

9

3.69%

 

Aortic regurgitation

    

<0.001

No or Mild

82

16.43%

137

56.15%

 

Moderate

219

43.89%

82

33.61%

 

Severe

198

39.68%

25

10.25%

 

Aortic root diameter(mm)

44.47

4.48

42.52

4.52

<0.001

Bicuspid aortic valve

65

13.03%

37

15.16%

0.001

Moderate/severe pericardial effusion

101

20.24%

48

19.67%

0.856

Preoperative shock(systolic blood pressure <80 mmHg)

34

6.81%

14

5.74%

0.636

Intraoperative data

Operatig Time(min)

306.89

70.38

315.76

63.58

0.097

CPBT(min)

181.59

45.05

186.96

43.27

0.122

ACC (min)

117.56

18.21

123.88

18.68

<0.001

Concomitant procedures

     

Partial aortic arch replacement

123

24.65%

70

28.69%

0.248

Complete aortic arch replacement

326

65.33%

164

67.21%

0.611

CABG

15

3.01%

9

3.69%

0.661

TVP

14

2.81%

12

4.92%

0.235

MVP

17

3.41%

13

5.33%

0.143

Blood transfusion

     

Erythrocytes (U)

4.17

2.19

3.88

2.01

0.084

Cryoprecipitate (U)

0.57

0.47

0.56

0.46

0.914

Plasma (U)

556.99

341.26

596.31

350.44

0.144

Postoperative characteristics and Outcomes

Neurological deficits

73

14.63%

30

12.30%

0.43

Renal insufficiency

133

26.65%

59

24.18%

0.532

Low cardiac output syndrome

12

2.40%

10

4.10%

0.249

Tracheostomy

77

15.43%

39

15.98%

0.831

Sepsis

67

13.43%

28

11.48%

0.485

Hepatic dysfunction

115

23.05%

58

23.77%

0.854

Respiratory dysfunction

39

7.82%

17

6.97%

0.768

Reintubation

32

6.41%

13

5.33%

0.626

Stroke

19

3.81%

8

3.28%

0.717

Endocarditis

11

2.20%

6

2.46%

0.827

Reintervention for

70

14.03%

41

16.80%

0.319

Spontaneous hemorrhage

10

2.00%

10

4.10%

 

Distal anastomotic fistula

9

1.80%

2

0.82%

 

Endocarditis

36

7.21%

3

1.23%

 

Aortic regurgitation(Moderate or Severe)

12

2.40%

18

7.38%

 

Aortic stenosis(Moderate or Severe)

0

0.00%

2

0.82%

 

Recurrent aortic dissection

3

0.60%

6

2.46%

 

ICU stay (days)

9.29

10.50

8.84

9.84

0.595

Hospitalization time (day)

20.68

9.84

19.52

9.73

0.129

Death rate

In-hospital mortality

38

7.62%

26

10.66%

0.165

Overall mortality

152

30.46%

62

25.41%

0.093

  1. σ standard deviation, BMI Body Mass Index, LVEF Left ventricular ejection fraction, CPBT Cardiopulmonary bypass time, ACC aortic cross-clamp, CABG Coronary artery bypass grafting, MVP Mitral valvuloplasty, TVP Tricuspid valvuloplasty.