Document Detail


Vocal cord paralysis after surgery to the descending thoracic aorta via left posterolateral thoracotomy.
MedLine Citation:
PMID:  17764893     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vocal cord paralysis is one of the frequently encountered complications after aortic surgery. However, reports of vocal cord paralysis after aortic surgery have been limited. In a retrospective cohort study of vocal cord paralysis after aortic surgery at a general hospital, we sought factors related to its development after aortic surgery to the descending thoracic aorta via left posterolateral thoracotomy. We reviewed data for a total of 69 patients who, between 1989 and 1995, underwent aortic surgery to the descending thoracic aorta. We assessed factors associated with the development of vocal cord paralysis and postoperative complications. Postoperative vocal cord paralysis appeared in 19 patients. Multiple logistic regression analysis revealed two risk factors for vocal cord paralysis: chronic dilatation of the aorta at the left subclavian artery (odds ratio = 8.67) and anastomosis proximal to the left subclavian artery (odds ratio = 17.7). The duration of mechanical ventilation was significantly prolonged for patients with vocal cord paralysis. Certain surgical factors associated with left subclavian artery increase the risk of vocal cord paralysis after surgery on the descending thoracic aorta. Vocal cord paralysis after aortic surgery did not increase aspiration pneumonia but was associated with pulmonary complications.
Authors:
Noriyuki Ohta; Takahiko Mori
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Publication Detail:
Type:  Journal Article     Date:  2007-08-30
Journal Detail:
Title:  Annals of vascular surgery     Volume:  21     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  761-6     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Osaka University Hospital, Yamadaoka 2-15, Suita, Osaka, Japan. nohta753@hp-icu.med.osaka-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Anastomosis, Surgical / adverse effects
Aneurysm, Dissecting / surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / complications,  surgery*
Dilatation, Pathologic
Female
Humans
Incidence
Logistic Models
Male
Middle Aged
Odds Ratio
Respiration, Artificial
Respiratory Tract Diseases / etiology,  therapy
Retrospective Studies
Risk Assessment
Risk Factors
Subclavian Vein / surgery*
Thoracostomy / adverse effects*
Time Factors
Treatment Outcome
Vascular Surgical Procedures / adverse effects*
Vocal Cord Paralysis / complications,  epidemiology,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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