Document Detail


Aortic root reconstruction using new vascular graft.
MedLine Citation:
PMID:  19028788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to determine the feasibility of the new vascular graft for aortic root reconstruction using two different surgical techniques and to evaluate the intermediate clinical and functional results. Between January 2006 and December 2007, a total of 79 patients with aortic root and valve pathologies (chronic aneurysm 70, acute aortic dissection 9) underwent valve-sparing aortic root repair at our facility. Moderate to severe (3+) or severe (4+) aortic regurgitation was present in 19 (24%) and 7 (9%) patients, respectively. A new vascular aortic root graft was used in all patients. The 30-day mortality was zero. The aortic valve had to be replaced before discharge due to recurrent insufficiency in one patient. In all remaining patients, the postoperative echocardiography at discharge showed no, trivial, or mild insufficiency in 61, 15 and two patients, respectively. During the follow-up time, which was completed for all patients and averaged for repair survivors 15+/-7 (range, 6-29 months), these echocardiographic findings remained unchanged. The new vascular aortic root graft is feasible for aortic root reconstruction using both reimplantation technique and single patch remodeling technique. It provides very good surgical handling and leads to excellent early and intermediate functional results.
Authors:
Paul P Urbanski; Xiaochun Zhan; Stefan Frank; Anno Diegeler
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Publication Detail:
Type:  Journal Article     Date:  2008-11-21
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-23     Completed Date:  2009-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  187-90     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany. p.urbanski@kardiochirurg.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / pathology,  surgery*
Aortic Aneurysm / pathology,  surgery*
Aortic Valve Insufficiency / pathology,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation*
Echocardiography
Feasibility Studies
Female
Humans
Male
Middle Aged
Prospective Studies
Prosthesis Design
Reoperation
Replantation*
Severity of Illness Index
Time Factors
Tomography, X-Ray Computed
Treatment Outcome

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


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