Document Detail

Surgical treatment of annuloaortic ectasia.
MedLine Citation:
PMID:  7437956     Owner:  NLM     Status:  MEDLINE    
Twenty-two patients with annuloaortic ectasia (an aneurysm of the ascending aorta and aortic valve incompetence) due to cystic medionecrosis underwent surgical repair between 1967 and 1979. Twelve patients had Marfan's syndrome and 4 had a forme fruste. The use of a valved conduit and improved techniques of myocardial protection have reduced the perioperative risks and may improve the survival of these patients. Between July 1, 1967 and June 30, 1978, 12 patients had supracoronary repair of the aneurysm and replacement of the aortic valve (group 1); the mortality was 17% (2 of 12). Between July 1, 1978 and Aug. 31, 1979, 10 patients underwent insertion of a valved conduit with implantation of the coronary arteries (modified Bentall procedure, group 2); the operative mortality was 10%. In five group 1 patients (42%) and two group 2 patients (20%) technical problems resulted in bleeding in the early postoperative period. Evidence of a recurrent aneurysm in the diseased segment of the proximal aorta developed in 2 of the 10 group 1 survivors, at 2 and 4 years after operation, respectively. Use of the modified Bentall procedure and cold potassium cardioplegia reduced operative complications from 58% (7 of 12 in group 1) to 20% (2 of 10 in group 2). Because of the low risk of the current procedure and the high risk associated with its natural history, operative intervention should be considered for asymptomatic patients with annuloaortic ectasia.
G A Painvin; R D Weisel; T E David; H E Scully; B S Goldman; R J Baird
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  23     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1980 Sep 
Date Detail:
Created Date:  1981-02-26     Completed Date:  1981-02-26     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  445-9     Citation Subset:  IM    
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MeSH Terms
Aorta, Thoracic
Aortic Aneurysm / complications,  surgery*
Aortic Valve Insufficiency / complications,  surgery*
Cardiac Surgical Procedures / mortality
Heart Arrest, Induced
Marfan Syndrome / complications
Middle Aged
Postoperative Complications

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

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