| Valve-sparing operation for aortic root aneurysm in patients with Marfan syndrome. | |
| | |
MedLine Citation:
|
PMID: 20333568 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We report our experience with aortic valve-sparing procedures in patients with Marfan syndrome and aortic root aneurysm. METHODS: Between August 2003 and July 2007, we performed aortic valve-sparing procedures in 20 patients with aortic root aneurysm resulting from Marfan syndrome. Mean age was 28 +/- 10 years (range, 10 to 57 years), and there were 9 females and 11 males. A reimplantation technique was used in 9 cases, a remodeling technique in 8 and a patch technique in 3 cases. Additional procedures included total aorta replacement in 1 patient, and aortic arch replacement plus stented elephant trunk in 2 patients. The mean follow-up time was 46 +/- 16 months (range, 17 to 64 months). RESULTS: No in-hospital or late death occurred. Reexploration for bleeding was required in one case on postoperative day 1. No valve-related complications occurred during the follow-up period. At the end of follow-up, trivial or no aortic regurgitation was demonstrated in 14 patients, mild in 4 patients, moderate in 1 and severe in 1. Two patients with moderate and severe aortic regurgitation required reoperation. CONCLUSIONS: The early and mid-term results of the valve-sparing operations were favorable, and the durability of the preserved valve should encourage use of this technique in patients with Marfan syndrome. |
| | |
Authors:
|
R Wang; W G Ma; L X Tian; L Z Sun; Q Chang |
Related Documents
:
|
8411468 - Comparison of cardiac morbidity rates between aortic and infrainguinal operations: two-... 1166838 - Surgical experience in patients with marfan's syndrome, ascending aortic aneurysm and a... 1453738 - Long-term results of survivors of surgical valvotomy for severe aortic stenosis in earl... 11743558 - Simultaneous aortic replacement and renal artery revascularization: the influence of pr... 22284288 - Patients' perceptions of improvements after bilateral sagittal split osteotomy advancem... 23268728 - Retrospective analysis of variation in heavy menstrual bleeding treatments by age and u... |
Publication Detail:
|
Type: Journal Article Date: 2010-03-23 |
Journal Detail:
|
Title: The Thoracic and cardiovascular surgeon Volume: 58 ISSN: 1439-1902 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-24 Completed Date: 2010-06-24 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
|
Languages: eng Pagination: 76-80 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular Surgery, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aortic Aneurysm / diagnosis, etiology, surgery* Aortic Valve / surgery* Aortic Valve Insufficiency / diagnosis, etiology, surgery* Blood Vessel Prosthesis Implantation Child Female Humans Male Marfan Syndrome / complications* Middle Aged Reoperation Replantation Retrospective Studies Severity of Illness Index Time Factors Treatment Outcome Vascular Surgical Procedures* / adverse effects Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hemodynamic Performance of Mitroflow Aortic Pericardial Bioprosthesis - Optimizing Management for th...
Next Document: Enhanced Growth of Staphylococcus aureus after Nitric Oxide Supplementation during Simulated Extraco...