Aortic root replacement in patients with previous heart surgery

Journal of Cardiac Surgery
T E DavidSusan Armstrong

Abstract

The objective was to review the operative risk and outcomes of redo aortic root replacement. From July 1990 to December 2001, aortic root replacement was performed in 165 patients who had at least one previous cardiac operation. Their mean age was 49 +/- 16 years and 78% were men. Twenty-eight patients had a previous aortic root replacement. The principal indication for surgery was prosthetic aortic valve dysfunction. All the patients had a dilated, calcified, ruptured, or some other abnormality of the aortic root. The follow-up was complete and extended from 0 to 12.5 years, mean of 3.8 years. There were 12 operative (7%) and 20 late deaths (12%). The survival at 8 years was 68%+/- 6%. The principal cause of death was cardiovascular related. Age at increments of 5 years (risk ratio: 1.2; CI: 95%; 1.1 to 1.4) and preoperative New York Heart Association functional class IV (risk ratio: 2.2; CI: 95%: 1.1 to 4.7) were the only two independent predictors of death. Two patients had a stroke and died; two patients developed three episodes of prosthetic valve endocarditis and died. Three patients were reoperated on because of endocarditis in one, bioprosthetic valve failure in one, and dehiscence of a prosthetic mitral valve in one. T...Continue Reading

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Citations

Jul 30, 2010·The Annals of Thoracic Surgery·Jacobo SilvaJosé E Rodríguez
Aug 30, 2011·The Annals of Thoracic Surgery·Nicola LucianiGianfederico Possati
Jan 28, 2010·The Annals of Thoracic Surgery·Pietro G MalvindiWim J Morshuis
Oct 29, 2008·The Journal of Thoracic and Cardiovascular Surgery·Christian D EtzRandall B Griepp
Oct 24, 2007·The Annals of Thoracic Surgery·Wilson Y SzetoAlberto Pochettino
Sep 26, 2006·The Annals of Thoracic Surgery·Leonard N GirardiO Wayne Isom
Jul 28, 2009·The Annals of Thoracic Surgery·Pasquale TotaroMario Vigano
Jul 24, 2007·The Annals of Thoracic Surgery·T Brett ReeceIrving L Kron
Feb 1, 2011·The Annals of Thoracic Surgery·Sergey LeontyevFriedrich W Mohr
May 11, 2011·The Journal of Thoracic and Cardiovascular Surgery·Ismail El-HamamsyMagdi H Yacoub
Mar 7, 2006·The Journal of Thoracic and Cardiovascular Surgery·E W Matthias KirschDaniel Loisance
Aug 16, 2016·The Korean Journal of Thoracic and Cardiovascular Surgery·Byung Kwon ChongJoon Bum Kim
Feb 20, 2019·Asian Cardiovascular & Thoracic Annals·Ameya KaskarDevi Shetty
Sep 27, 2019·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Tetsuro UchidaMitsuaki Sadahiro
May 20, 2018·General Thoracic and Cardiovascular Surgery·Athanasios AntoniouCarmelo Di Salvo
May 11, 2020·The Journal of Thoracic and Cardiovascular Surgery·Amine MazineMaral Ouzounian

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