PMID: 11899173Mar 20, 2002Paper

Complete aortic root replacement in patients with small aortic annulus

The Annals of Thoracic Surgery
Paul P Urbanski

Abstract

We evaluated the effectiveness of our surgical method using a modified self-assembled valved composite graft in patients with a narrow aortic annulus. Between August 2000 and May 2001, 10 consecutive patients with a narrow aortic annulus underwent replacement of the aortic valve and the ascending aorta using a valved composite graft with mechanical valve prosthesis. The indication for surgery was aneurysm of the ascending aorta (8 patients) and aortic dissection (2 patients). To avoid valve-patient mismatch, a modified self-assembled valved composite graft was used. There was no hospital mortality. Echocardiographic evaluation before discharge showed excellent hemodynamics with a mean transvalvular gradient of 10.7 mm Hg (standard deviation +/- 2.8 mm Hg). The described valved composite graft offers very good hemodynamic performance and is a simple and effective device to avoid valve-patient mismatch in patients with a small aortic annulus who need aortic root replacement.

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Citations

May 7, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul P UrbanskiAnno Diegeler
Jan 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Marc RuelThierry G Mesana
Sep 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Paul P Urbanski
Dec 15, 2005·Heart, Lung & Circulation·Catherine E SarrafMark Eastwood
Oct 3, 2003·Cell Proliferation·C E SarrafM Eastwood
May 8, 2014·Journal of Cardiac Surgery·Farideh RoshanaliMohammad Hossein Mandegar
Nov 26, 2009·The Annals of Thoracic Surgery·Paul P Urbanski
Nov 2, 2013·Interactive Cardiovascular and Thoracic Surgery·Paul P UrbanskiAnno Diegeler
Mar 29, 2005·Asian Cardiovascular & Thoracic Annals·Paul P UrbanskiRobert W Hacker
May 27, 2010·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M Zhang, Q-C Wu

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