Surgical experience with dissecting and nondissecting aneurysms of the ascending aorta.
Indian Heart J
;
2001 May-Jun; 53(3): 319-22
Article
in English
| IMSEAR
| ID: sea-4377
ABSTRACT
BACKGROUND:
Patients who underwent replacement of the ascending aorta with a prosthetic graft for treatment of ascending aortic aneurysm and dissection between January 1992 and December 2000 were studied. METHODS ANDRESULTS:
Bentall's operation, using a composite aortic valve and prosthetic graft. was performed in 82 patients (70 males). Indications for the procedure included ascending aortic aneurysm (n=54 including 16 patients with Marfan's syndrome) DeBakey Type I or II aortic dissection (n=26 including 10 patients with Marfan's syndrome) and ascending aortic aneurysm with severe aortic stenosis (bicuspid aortic valve disease) (n=2). Bentall's procedure with the inclusion technique was performed in 72 patients and a Cabrol fistula created in 63 patients. In 10 other patients, coronary button transfer was done without a Cabrol fistula. There were 6 early deaths (7.3%) and 8 patients required re-exploration for excessive bleeding. Eighteen patients showed low cardiac output while the wound of 8 became infected. Postoperative arrhythmia and renal failure was seen in 26 and 6 patients, respectively. Four patients had pericardial effusion. Follow-up ranged from 1 month to 8 years. There were 8 late deaths, the causes of which include congestive heart failure (n=3). cerebral hemorrhage (n=3) and sudden cardiac death (n=2). Two patients reported back with dissection of the descending thoracic aorta and await surgery.CONCLUSIONS:
Bentall's operation is a safe procedure with an acceptable mortality and morbidity.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Aorta
/
Aortic Aneurysm
/
Aortic Valve
/
Postoperative Complications
/
Vascular Surgical Procedures
/
Aged
/
Female
/
Humans
/
Male
/
Blood Vessel Prosthesis
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian heart j
Year:
2001
Type:
Article
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