Root replacement in acute dissection type A—A superior procedure?
نویسندگان
چکیده
منابع مشابه
Composite aortic root replacement in acute type A dissection: time to rethink the indications?
OBJECTIVE The indications for aortic root replacement in acute type A dissection are unclear. We reviewed the immediate and long-term outcome of consecutive patients in a series in which a low-threshold policy of composite aortic root replacement had evolved. METHODS From a prospectively compiled aortic surgery database, we identified 162 patients who had either supracoronary interposition gr...
متن کاملValve sparing-aortic root replacement with the reimplantation technique in acute type A aortic dissection.
A 56-year-old man presented to the emergency department of our institution complaining of sudden onset chest pain, shortness of breath and palpitations. His past medical history was significant for hypertension and paroxysmal atrial fibrillation. Physical examination revealed a blood pressure of 150/80 mmHg, heart rate of 120 bpm, normal heart sounds and lungs auscultation and normal distal art...
متن کاملA Case of Coronary Artery Dissection After Aortic Replacement in Acute Type A Aortic Dissection
A 59-year-old woman was transferred to our institution with a diagnosis of acute type A aortic dissection. During aortic replacement surgery, the dissection had not extended to the orifice of the left coronary artery. However, ST segment elevation was observed on an electrocardiogram monitor immediately postoperatively. An emergent coronary angiogram showed almost complete collapse of the lumen...
متن کاملHigh failure rate after valve-sparing aortic root replacement using the "remodeling technique" in acute type A aortic dissection.
BACKGROUND Valve-sparing surgery including the replacement of the sinus of valsalvae were initially meant to be promising approaches in the treatment of acute type A aortic dissection. However, the long-term outcome after valve-sparing aortic root replacement in acute type A dissection is currently the subject of intense debate, and the evidence reported in the literature is sparse. Here we rep...
متن کاملValve-sparing aortic root replacement in patients after a previous operation for acute type A aortic dissection.
T he list of long-term complications after surgical intervention for acute type A aortic dissection includes recurrent dissection, aneurysm formation, and aortic valve regurgitation. Ten years after the initial operation for acute type A dissection, the reoperation rate for these kinds of long-term complications is 13% to 30% in the literature.1 The diseased aortic root in these patients is com...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2018
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2017.09.038