Document Detail

Selected therapy for ascending aortic aneurysms.
MedLine Citation:
PMID:  708254     Owner:  NLM     Status:  MEDLINE    
Since 1971, ten patients, 26 to 62 years of age, have undergone repair of ascending aortic aneurysms with concomitant aortic insufficiency. Three patients had Marfan's syndrome, five patients had cystic medial necrosis, one had leutic aortitis, and one had atherosclerotic involvement of the aorta. There was one operative death. Follow-up exceeds seven years. Because of the tendency for progressive annular and sinus dilation in Marfan's syndrome, composite graft and valve conduits with reimplantation of the coronary arteries is the procedure of choice. In selected patients with annulaortic ectasia, good valve tissue and no sinus dilation, bicuspidization of the valve, and replacement of the ascending aorta is indicated. The operation is generally less formidable than composite graft replacement, maintains normal coronary anatomy, and alleviates the long-term risks of anticoagulation.
C D Campbell; R L Hardesty; R D Siewers; D B Lerberg; R L Peel; H T Bahnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  113     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1978 Nov 
Date Detail:
Created Date:  1978-12-20     Completed Date:  1978-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1324-30     Citation Subset:  AIM; IM    
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MeSH Terms
Aorta / surgery
Aortic Aneurysm / complications,  surgery*
Aortic Valve / surgery
Aortic Valve Insufficiency / complications,  surgery
Blood Vessel Prosthesis
Follow-Up Studies
Heart Valve Prosthesis
Marfan Syndrome / complications
Middle Aged
Veins / transplantation

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

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