PMID: 11899172Mar 20, 2002Paper

Reduction aortoplasty for dilatation of the ascending aorta in patients with bicuspid aortic valve

The Annals of Thoracic Surgery
Matthias BauerRoland Hetzer

Abstract

Individuals with bicuspid aortic valve tend to develop a dilatation of the ascending aorta. It is controversial whether the dilated ascending aorta should be replaced with a tube graft or whether the diameter of the aorta should be reduced by reduction aortoplasty. Furthermore, it is unclear whether an external prosthetic support of the reduction aortoplasty is necessary. The aim of this study is to analyze the results of reduction aortoplasty with and without external prosthetic support. Between 1985 and 1999, a total of 115 patients with bicuspid aortic valve and dilatation of the ascending aorta underwent reduction aortoplasty in combination with other types of open-heart procedure at our institution. The diameter of the ascending aorta was measured before and early after surgery and then later between 12 and 144 months (mean 40 months) postoperatively using echocardiography and computed tomography. The reduction aortoplasty decreased the internal diameter of the aorta from 48.7+/-5.1 mm preoperatively to 36.9+/-3.6 mm early after surgery (p = 0.0001). During follow-up, there was no increase of the aortic diameter either in patients with external prosthetic support or in 97 of 106 patients without external prosthetic support...Continue Reading

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Citations

Feb 20, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Peter FeindtEmmeran Gams
Jun 30, 2004·The Annals of Thoracic Surgery·Sinan Arsan
Mar 22, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Richard S Lee
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Jun 19, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Ji Young ParkMeong-Gun Song
Nov 24, 2011·Interactive Cardiovascular and Thoracic Surgery·Alessandro Della CorteMaurizio Cotrufo
Jun 30, 2004·The Annals of Thoracic Surgery·Sinan Arsan
Mar 26, 2003·Seminars in Thoracic and Cardiovascular Surgery·Ismail A Sallam
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Sep 10, 2014·Journal of Cardiac Surgery·Tomasz Plonek
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Oct 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Michael A BorgerTirone E David
Feb 28, 2003·The Annals of Thoracic Surgery·Matthias BauerRoland Hetzer
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