Document Detail


Reduction aortoplasty for ascending aortic aneurysm: a 14-year experience.
MedLine Citation:
PMID:  19592547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present early results and long-term follow-up after reduction aortoplasty with external wrapping of the ascending aorta. From December 1993 to February 2008, 32 consecutive patients who had reduction aortoplasty were compared with 47 consecutive patients who underwent prosthetic graft replacement of the ascending aorta. The groups were similar in baseline characteristics. Patients in the reduction aortoplasty group had significantly shorter aortic crossclamp times (18.78 +/- 1.91 vs. 34.04 +/- 3.25 min) and cardiopulmonary bypass times (30.16 +/- 2.36 vs. 60.83 +/- 2.05 min), and they received fewer transfusions. There was no significant enlargement of the aortic diameter at the level of the sinus of Valsalva in the reduction aortoplasty group during the follow-up period (from 38.84 +/- 3.10 to 39.48 +/- 2.72 mm). Reduction aortoplasty with external wrapping of the ascending aorta is a simple and promising surgical method. Our experience shows that this technique is the procedure of choice in patients without aortic dissection and with an appropriately sized sinus of Valsalva.
Authors:
Iuri V Belov; Anna B Stepanenko; Andrei P Gens; Dmitri D Savichev; Eduard R Charchyan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  17     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-07-13     Completed Date:  2009-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  162-6     Citation Subset:  IM    
Affiliation:
Department for Surgery of the Aorta and Its Branches, National Research Center of Surgery, Moscow, Russia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Aneurysm / complications,  mortality,  pathology,  surgery*
Aortic Valve Insufficiency / etiology
Blood Transfusion
Blood Vessel Prosthesis Implantation* / adverse effects,  mortality
Cardiopulmonary Bypass
Constriction
Female
Humans
Length of Stay
Male
Middle Aged
Patient Selection
Reoperation
Risk Assessment
Sinus of Valsalva / pathology
Time Factors
Treatment Outcome
Vascular Surgical Procedures* / adverse effects,  mortality

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


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