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World J Clin Cases. May 16, 2023; 11(14): 3140-3147
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3140
Postoperative hypoxemia for patients undergoing Stanford type A aortic dissection
Hai-Yuan Liu, Shuai-Peng Zhang, Cheng-Xin Zhang, Qing-Yun Gao, Yu-Yong Liu, Sheng-Lin Ge
Hai-Yuan Liu, Shuai-Peng Zhang, Cheng-Xin Zhang, Qing-Yun Gao, Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Yu-Yong Liu, Sheng-Lin Ge, First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei 230032, Anhui Province, China
Author contributions: Liu HY collected relevant data and drafted the manuscript; Zhang SP, Zhang CX, and Gao QY revised the manuscript; Ge SL and Liu YY supervised the audit process; All authors read and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng-Lin Ge, Doctor, Professor, First Affiliated Hospital of Anhui Medical University, Anhui Medical University, No. 218 Jixi Road, Shushan District, Hefei 230032, Anhui Province, China. wenxian84@126.com
Received: November 24, 2022
Peer-review started: November 24, 2022
First decision: February 28, 2023
Revised: March 6, 2023
Accepted: April 4, 2023
Article in press: April 4, 2023
Published online: May 16, 2023
Processing time: 173 Days and 4.4 Hours
Abstract

Clinically, it is widely recognized that surgical treatment is the preferred and reliable option for Stanford type A aortic dissection. Stanford type A aortic dissection is an emergent and serious cardiovascular disease characterized with an acute onset, poor prognosis, and high mortality. However, the incidences of postoperative complications are relatively higher due to the complexity of the disease and its intricate procedure. It has been considered that hypoxemia, one of the most common postoperative complications, plays an important role in having a worse clinical prognosis. Therefore, the effective intervention of postoperative hypoxemia is significant for the improved prognosis of patients with Stanford type A aortic dissection.

Keywords: Stanford type A aortic dissection; Hypoxemia; Risk factors; Intervention; Mortality

Core Tip: Surgically, it has been considered that in patients suffering with Stanford type A dissection, postoperative complications are the main risk factors that lead to higher mortality and worse outcome. As one of the most common postoperative complications, the importance of prevention and intervention on the postoperative hypoxemia should be fully emphasized with the aim to decrease the mortality and improve the outcome.