Titre
Dealing with dilated ascending aorta during aortic valve replacement: advantages of conservative surgical approach
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Carrel, T.
Auteure/Auteur
von Segesser, L.
Auteure/Auteur
Jenni, R.
Auteure/Auteur
Gallino, A.
Auteure/Auteur
Egloff, L.
Auteure/Auteur
Bauer, E.
Auteure/Auteur
Laske, A.
Auteure/Auteur
Turina, M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1010-7940
Statut éditorial
Publié
Date de publication
1991
Volume
5
Numéro
3
Première page
137
Dernière page/numéro d’article
43
Peer-reviewed
Oui
Notes
Journal Article
Résumé
Five to fifteen percent of patients undergoing aortic valve replacement (AVR) will have an ascending aortic aneurysm requiring a concomitant surgical procedure. On the other hand, a dilated ascending aorta is known to be a potential source of complications after AVR. From 1972 to 1988, 2278 AVR, either isolated or combined with a second cardiac procedure, were performed in our institution. In the same time interval, a dilated ascending aorta was treated in additional 291 consecutive patients during AVR. Three different surgical options were employed: aortic remodelling and external wall support in 164 patients (56.4%), composite graft replacement in 81 patients (27.8%) and a supracoronary graft in 46 patients (15.8%). Early mortality was 4.8%. Aortic remodelling plus external wall support had the lowest early mortality (1.8%) and the best 8-year survival (89.6%). Supracoronary grafting had a higher early mortality (6.4%) and lower 8-year survival (73.2%). The results of the composite graft were least favourable: early mortality was 9.8% and 8-year survival 76.5%. The results point out the necessity for instituting the appropriate surgical procedure for a dilated ascending aorta during AVR. They show that conservative aortic surgery with preservation of endothelial lining gives excellent early and late results.
Sujets
PID Serval
serval:BIB_CB2002F71156
PMID
Date de création
2008-02-14T13:15:35.467Z
Date de création dans IRIS
2025-05-21T03:34:30Z