Document Detail


Konno-aortoventriculoplasty with mechanical prosthesis in dealing with small aortic root: a good surgical option.
MedLine Citation:
PMID:  9458149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to evaluate the effectiveness and the results with the Konno-aortoventriculoplasty. METHODS: Over a 10-year period, 21 Konno-aortoventriculoplasties were performed in 20 patients utilizing mechanical cardiac valvular prostheses, in 14 male and 6 female patients for complex left ventricular outflow tract stenosis. The mean age was 9.2 years (range 1.7-25.7 years). The pre-enlargement mean aortic annular size was 11.5 mm (6-16 mm). The mean size of the prostheses implanted was 20.4 mm (19-23 mm). In a typical case, the aortic annulus was enlarged to twice its original size. RESULTS: The only operative death was in a 8 kg, 20-month old child with previous commissurotomy, due to intractable bleeding and low output state. The mean hospital stay was 9.4 days (1-15 days), and the mean ICU stay was 3.3 days (1-7 days). The only late death was in a patient who went on to have cardiac transplantation for progressive left ventricular dysfunction. The 10-year acturial survival was 90 +/- 7%, and the reoperation free survival was 89 +/- 7%. All of the 18 surviving patients are asymptomatic at the time of last clinic visit (mean follow-up of 61.1 +/- 31.7 months, range 0-139 months). All patients had resolutions of their left ventricular hypertrophy with insignificant gradient across the repair by echocardiography. CONCLUSIONS: Konno-aortoventriculoplasty is extremely effective in the treatment of small aortic annuli and complex left ventricular outflow tract obstruction. In the present era of increasing popularity of autograft and homograft operations, the Konno procedure should remain in the technical armamentarium of the cardiac surgeon.
Authors:
A Cobanoglu; G K Thyagarajan; J Dobbs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  12     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-04-01     Completed Date:  1998-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  766-70     Citation Subset:  IM    
Affiliation:
Division of Cardiopulmonary Surgery, Oregon Health Sciences University, Portland, 97201-3098, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aorta / abnormalities*,  surgery
Child
Child, Preschool
Female
Heart Valve Prosthesis Implantation*
Heart Ventricles / surgery*
Humans
Infant
Length of Stay
Male
Survival Rate
Treatment Outcome
Ventricular Outflow Obstruction / surgery*

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


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