Læknablaðið - 01.12.2016, Blaðsíða 22

550 LÆKNAblaðið 2016/102
R A N N S Ó K N
ENGLISH SUMMARY
Introduction: Thoracic aortic aneurysm (TAA) is an uncommon disease
where treatment is complex and associated with significant comorbidity.
The main aim of this study was to evaluate the outcomes of operations
for TAA in Iceland with emphasis on postoperative complications, 30 day
mortality and survival.
Materials and methods: A retrospective study on 105 patients (mean
age 60.7 yrs., 69.5% males) that underwent operations for TAA between
2000 and 2014 in Iceland. Patients with aortic injury or acute aortic
dissection were excluded. Clinical information was collected from hospi-
tal charts and long-term survival estimated by Kaplan-Meier method.
Mean follow-up was 5.7 yrs.
Results: Bicuspid aortic valve was present in 52 patients (51.0%) and
family history was positive in 10 of the cases (9.5%). Every other pati-
ent (50.5%) was asymptomatic and diagnosed incidentally. The most
common procedure was aortic root replacement using biological prost-
hesis. Two out of three patients had complications, that were regarded
as major in 31.4% of cases, however, stroke was only detected in 2
(1.9%) patients. Two patients died within 30 days postoperatively (1.9%).
The overall survival at one year was 95.1%; more favorable for males
compared to females (97.2 vs. 90.4%, p=0.0012, log rank test) and at 5
years 90.3%.
Conclusions: Outcome following surgery for TAA in Iceland is
comparable to studies in neighbouring countries. The complications
rate is high, however, the stroke rate was low, as was 30 day mortality.
Longterm survival is favorable, and is more favorable for males than
females.
Results of operations for ascending aortic aneurysm in Iceland 2000-2014
Helga Björk Brynjarsdóttir1, Inga Hlíf Melvinsdóttir2, Tómas Guðbjartsson1,3, Arnar Geirsson3
1Faculty of Medicine, University of Iceland, 2Landspitali University Hospital, 3Department of Cardiothoracic Surgery, Landspitali University Hospital.
Key words: Thoracic aortic aneurysm, ascending aorta, open heart surgery, complications, operative mortality, survival.
Correspondance: Arnar Geirsson, arnarge@landspitali.is
STYRKUMSÓKNIR
Rannsóknarsjóður Hjartasjúkdómafélags íslenskra lækna auglýsir eftir styrkumsóknum vegna rannsóknarverkefna sem tengjast
hjarta- og æðasjúkdómum. Hægt er að sækja um styrki frá 250.000 og að hámarki 1.000.000 króna. Í umsókn þarf eftirfarandi að koma
fram:
1. Titill rannsóknarverkefnis.
2. Nafn umsækjanda og leiðbeinanda ef við á, ásamt því hvar rannsóknarvinnan er unnin.
3. Stutt samantekt um rannsóknarverkefnið.
4. Hversu háan styrk er sótt um og kostnaðaráætlun um hvernig ráðgert er að nota styrkinn.
Styrkumsóknir þarf að senda bréflega til Ragnars Danielsen, Hjartaómunareiningu 13F, Hjartadeild, Landspítala Hringbraut, eða með tölvu-
pósti á ragnarda@landspitali.is, fyrir 2. janúar 2017.