Chrurgie des anevrismes de l'aorte acsendante

ABSTRACT

Evaluation of the short and middle term morbidity and mortality rate of ascending aortic aneurysm surgery. Material and methods: It is a retrospective study of 21 ascending aortic aneurysm patients operated between May 1996 and may 2003. The interventions were of Bentall's type in 11 cases [4-25], Carbrol's in 6 cases [6-28%] and Weath's type in 4 cases [19%]. A total of 21 patients-16 males and 5 females- average age of 45 years +/- 8-12 [15-68]. Four patients [19%] had acute complicated discecting aneurysm. Two patients [5-9%] had MARFAN'S syndrome. Sixteen patients [57 +/- 6,3%] had aortic regurge grade II to IV. Seventeen patients [81%] had NYHA'S functional class II-III. Average aneurysmal diameter was 57 mm +/- 6,3 [48-80mm]. Operative mortality rate was nil. Hospitalisation period was 19 +/- 4 days [16-40 days]. Three patients had complete atrioventricular heart block. Lately 2 patients died as a result of thromoembolic accidents. The ascending aortic aneurysm surgery can be achieved with immediate results similar to surgical aortic valve replacement. The mode of surgery and necessity of a long course of anticoagulant treatment affect the middle and long term prognosis