Valve-sparing root replacement in type A dissection: Age and experience matter
نویسندگان
چکیده
منابع مشابه
Valve 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 کاملValve-sparing aortic root replacement.
The aortic root has a unique 3-dimensional configuration and the distinctive function of supporting the aortic valve and blood vessels. The sinuses of Valsalva are crucial to create appropriate eddy currents that are important in initiating and coordinating aortic valve closure and promoting coronary artery blood flow. Most aneurysms in the aortic root are associated with degenerative changes i...
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...
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 کاملA modified valve-sparing aortic root replacement technique for acute type A aortic dissection: the patch neointima technique.
We describe a modified valve-sparing aortic root replacement technique for acute type A aortic dissection. After the normal root geometry was restored by removing blood and clots in the proximal false lumen and the valve insufficiency was corrected by simple resuspension of the aortic commissures, three teardrop-shaped patches were sutured inside the sinuses as neointima and then in situ corona...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2019
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2018.10.043