title: Should patients undergo ascending aortic replacement with concomitant cardiac surgery?
abstract: OBJECTIVE
  To determine whether concomitant surgery is a predictor of mortality in patients undergoing surgery for ascending aortic aneursym.
  
  
  METHODS
  Ninety-nine patients who underwent ascending aortic aneursym surgery between January 2010 and January 2015 were included in this study. Nineteen patients underwent ascending aortic replacement (RAA) only, 36 underwent aortic valve replacement (AVR) and RAA, 25 underwent coronary artery bypass grafting (CABG) and RAA, 11 underwent the Bentall procedure, and eight underwent AVR, CABG and RAA.
  
  
  RESULTS
  Depending on the concomitant surgery performed with RAA, the mortality risk increased 2.25-fold for AVR, 4.5-fold for CABG, 10.8-fold for AVR + CABG and four-fold for the Bentall procedure, compared with RAA alone.
  
  
  CONCLUSIONS
  Concomitant cardiac surgery increased the mortality risk in patients undergoing RAA, but the difference was not statisticaly significant. Based on these study results, patients undergoing cardiac surgery, with a pre-operative ascending aortic diameter of over 45 mm, should undergo concomitant RAA.
authors.affiliation: Cardiovascular Surgery Department, Ordu State Hospital, Ordu, Turkey. Email: mihribandemir33@hotmail.com.
authors.forename: Mihriban
authors.initials: M
authors.lastname: Yalcin
authors.affiliation: Cardiovascular Surgery Department, Ordu State Hospital, Ordu, Turkey.
authors.forename: Kaptan Derya
authors.initials: KD
authors.lastname: Tayfur
authors.affiliation: Cardiovascular Surgery Department, Ordu State Hospital, Ordu, Turkey.
authors.forename: Melih
authors.initials: M
authors.lastname: Urkmez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000401:mortality; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome