Incidence and outcome of rhabdomyolysis after type A Aortic Dissection
surgery -a retrospective analysis
Abstract
Objectives: To study the incidence of rhabdomyolysis (RML) after
ascending aortic dissection surgery and to correlate with the outcome
especially in terms of renal function. The secondary objective was to
pinpoint the perioperative risk factors associated with the development
of Rhabdomyolysis and adverse renal outcome after Aortic dissection
repair Design: Retrospective single-center study Settings: Tertiary
cardiac center Participants: Patients who had undergone ascending aortic
dissection repair from 2011-2017. Interventions: Two groups Group 1-
with RML creatine kinase (CK) above cut-off levels 2500 U/Liter and
Group 2 without RML. The potential determinants of RML and the impact of
the same on the patient outcome; especially on postoperative renal
function was studied. Measurements and main results: Out of 33 patients
studied, 21 patients (64%) developed Rhabdomyolysis (Group RML) and 12
did not (Group non-RML). Demographic and intraoperative factors had no
significant impact on the incidence of RML. There was a significantly
higher incidence of AKI in the RML group (90%) than in the non-RML
group (25%). All 4 patients who went into new post-operative dialysis
belonged to the RML group. The peak troponin levels were significantly
higher in RML group Conclusion: In this study, we found a high incidence
of RML after aortic dissection surgery which paralleled with an adverse
renal outcome and need for postoperative dialysis. Identification of
risk factors and early intervention might help to mitigate the severity
of renal failure. Further large-scale prospective trials are warranted
to investigate the predisposing factors and influence of RML on outcome