Midterm Follow-up after Cryopreserved Homograft Replacement in the Aortic Position
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 30-34, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-71951
ABSTRACT
BACKGROUND:
The long-term results of homografts used in systemic circulation are controversial. We assessed the long-term results of using a cryopreserved homograft for an aortic root or aorta and its branch replacement. MATERIALS ANDMETHODS:
From June 1995 to January 2010, 23 patients (malefemale=158, 45.4+/-15.6 years) underwent a homograft replacement in the aortic position. The surgical techniques used were aortic root replacement in 15 patients and aortic graft interposition in 8 patients. Indications for the use of a homograft were systemic vasculitis (n=15) and complicated infection (n=8). The duration of clinical follow-up was 65+/-58 months.RESULTS:
Early mortality occurred in 2 patients (8.7%). Perioperative complications included atrial arrhythmia (n=3), acute renal failure (n=3), and low cardiac output syndrome (n=2). Late mortality occurred in 6 patients (26.1%). The overall survival rates at 5 and 10 years were 66.3% and 59.6%, respectively. Six patients (28.6%) suffered from homograft-related complications.CONCLUSION:
Early results of homograft replacement in aortic position were favorable. However, close long-term follow-up is required due to the high rate of homograft-related events.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta
/
Arritmias Cardíacas
/
Transplante Homólogo
/
Baixo Débito Cardíaco
/
Taxa de Sobrevida
/
Seguimentos
/
Transplantes
/
Endocardite
/
Vasculite Sistêmica
/
Injúria Renal Aguda
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2012
Tipo de documento:
Artigo
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