Vocal cord paralysis after aortic surgery

Ralph P. Dilisio, Michael A. Mazzeffi, Carol A. Bodian, Gregory W. Fischer

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Objective: The purpose of this study was to investigate variables associated with vocal cord paralysis during complex aortic procedures. Design: A retrospective review. Setting: A tertiary care center. Participants: Four hundred ninety-eight patients who underwent aortic surgery between 2002 and 2007. Methods: Two groups were studied. Group A patients had procedures only involving their aortic root and/or ascending aorta. Group B patients had procedures only involving their aortic arch and/or descending aorta. Results: The incidence of vocal cord paralysis was higher (7.26% v 0.8%) in group B patients (p < 0.0001). Increasing the duration of cardiopulmonary bypass time was associated with an increased risk of vocal cord paralysis and death in both groups A and B (p = 0.0002 and 0.002, respectively). Additionally, within group B, descending aneurysms emerged as an independent risk factor associated with vocal cord paralysis (p = 0.03). Length of stay was statistically significantly longer among group A patients who suffered vocal cord paralysis (p = 0.017) and trended toward significance in group B patients who suffered vocal cord paralysis (p = 0.059). The association between tracheostomy and vocal cord paralysis among group A patients reached statistical significance (p = 0.007) and trended toward significance in group B patients (p = 0.057). Conclusions: Increasing duration of cardiopulmonary bypass time was associated with a higher risk of vocal cord paralysis in patients undergoing aortic surgery. Additionally, within group B patients, descending aortic aneurysm was an independent risk factor associated with vocal cord paralysis. Most importantly, vocal cord paralysis appeared to have an association between an increased length of stay and tracheostomy among a select group of patients undergoing aortic surgery.

Original languageEnglish
Pages (from-to)522-527
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume27
Issue number3
DOIs
StatePublished - Jun 2013
Externally publishedYes

Keywords

  • length of stay
  • thoracic aortic aneurysm
  • tracheostomy
  • vocal cord paralysis

Fingerprint

Dive into the research topics of 'Vocal cord paralysis after aortic surgery'. Together they form a unique fingerprint.

Cite this