Although classic valve-sparing root repair yields excellent results (survival at 10 years of 93.5%, freedom from structural valve deterioration at 10 years of 96.1% [1]), I agree with Siepe and colleagues [2] that extensive skeletonization of the aortic root might jeopardize an abnormal circumflex artery arising from the right coronary sinus and crossing the dorsal aspect of the annulus. I also...

OBJECTIVE The aim of this study was to assess the outcome of 3 different surgical approaches for treatment of acute aortic dissection type A (AADA) with involvement of the aortic root. MATERIALS AND METHODS From November 2002 to December 2007, 51 consecutive patients underwent emergency surgical intervention for AADA with involvement of the aortic root. Supracommissural replacement (SCR) of t...

Although classic valve-sparing root repair yields excellent results (survival at 10 years of 93.5%, freedom from structural valve deterioration at 10 years of 96.1% [1]), I agree with Siepe and colleagues [2] that extensive skeletonization of the aortic root might jeopardize an abnormal circumflex artery arising from the right coronary sinus and crossing the dorsal aspect of the annulus. I also...

cannulation. The other subject that we wonder about is the cause of mortality in one case. It could be more favorable if the authors pointed out this issue. Antegrade cerebral perfusion is being performed even when the point of deep or moderate hypothermic perfusion is controversial [4]. We believe that the safety and quality of distal anastomosis is the most important factor for mortality and ...

Cardiopulmonary bypass (CPB) in patients with sickle cell anemia can trigger lethal vaso-occlusive crises, especially cases of hypoxia, hypothermia, acidosis, or low-flow states. We described a patient who had bicuspid aortic valve stenosis and aneurysmal dilatation the ascending aorta complicated infective endocarditis. The history stroke. During routine workup, Hodgkin’s Lymphoma was diagnosed...