Document Detail


Aortic repair in Marfan's syndrome: prevention of mechanical leaflets damage.
MedLine Citation:
PMID:  11336854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aortic incompetence in Marfan's syndrome results from distortion or dilatation of the sinuses of Valsalva, annuloaortic ectasia or a combination of these problems. Valve leaflets in these patients are macroscopically normal in spite of aortic insufficiency. Replacement of the ascending aorta, root and aortic valve with a composite graft was, for a long time, the treatment of choice for Marfan patients. Valve-preserving procedures (remodeling or reimplantation) provide the advantages of avoiding the shortcomings of standard surgical techniques, and maintaining the functional integrity of the left ventricular (LV) outflow tract, aortic root and ascending aorta. We developed a modified valve-sparing reimplantation technique for avoiding leaflet damage. This was achieved by leaving a 'cushion' of aortic wall (8--10 mm) that, sewn on the Dacron graft, works as a 'damper' and prevents leaflets injury during the systolic opening of the valve. For final judgment of this operative method long-term results are necessary.
Authors:
S Gelsomino; R Frassani; L Porreca; U Livi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  9     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-04     Completed Date:  2001-07-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  299-301     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, General Hospital S. Maria della Misericordia, Udine, Italy. sandrogelsomino@virgilio.it
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MeSH Terms
Descriptor/Qualifier:
Aortic Valve Insufficiency / etiology*,  physiopathology,  surgery*,  ultrasonography
Biomechanics
Echocardiography
Follow-Up Studies
Heart Valve Prosthesis Implantation / methods*
Hemodynamics
Humans
Marfan Syndrome / complications*
Replantation / methods*
Suture Techniques
Systole
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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