Document Detail

Reduction aortoplasty for moderately sized ascending aortic aneurysms.
MedLine Citation:
PMID:  10063959     Owner:  NLM     Status:  MEDLINE    
Enlargement of the ascending aorta may coexist with concomitant valvular, coronary, or other cardiac diseases. If dilation is moderate (i.e., <6 cm diameter) and another cardiac procedure is being performed, we have reduced the diameter of the ascending aorta with an S-shaped incision and excision of the curves of the "S" as a modified Z-plasty. We have performed the procedure in 23 patients with concomitant procedures including aortic valve replacement in 21 (1 as a pulmonary autograft), coronary bypass in 1, and resection of subaortic stenosis in 1. There were 15 males and 8 females with a mean age of 53 years (range 8-67 years). The mean maximal preoperative diameter on transesophageal echocardiography was 5.0+/-0.7 cm (range 3.2-6.6 cm). The mean intraoperative postreduction diameter was 3.1+/-0.6 cm (range 2.1-4.1) (p<0.01). All patients tolerated their procedures well. Sixteen patients were studied by transthoracic echocardiography postoperatively. These patients had a mean intraoperative postreduction diameter of 2.9+/-0.65 cm that increased to 3.1+/-0.45 cm (p = NS) after a mean follow-up of 9.9+/-12.6 months. Of these, seven patients were studied >1 year postoperatively. Their mean intraoperative postreduction diameter of 2.9+/-0.5 cm increased to 3.1+/-0.35 cm (p = NS) after a mean follow-up of 22.1+/-9.2 months. No known recurrences of the aneurysms have occurred. We feel this technique is valid in patients with moderate aortic dilation undergoing concomitant cardiac procedures and in whom more aggressive aortic interventions are not warranted.
F Baumgartner; B Omari; S Pak; L Ginzton; S Shapiro; J Milliken
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  13     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1999-04-22     Completed Date:  1999-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  129-32     Citation Subset:  IM    
Harbor-UCLA Medical Center, Torrance, California, USA.
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MeSH Terms
Aorta / surgery*
Aortic Aneurysm / complications,  surgery*
Aortic Valve Stenosis / complications,  surgery
Coronary Artery Bypass
Heart Valve Diseases / complications,  surgery
Heart Valve Prosthesis Implantation
Middle Aged
Erratum In:
J Card Surg 1998 Jul;13(4):227

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

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