Results of aortic valve-sparing operations: experience with remodeling and reimplantation procedures in 65 patients

The Annals of Thoracic Surgery
Brian T BetheaDuke E Cameron

Abstract

Valve-sparing operations for aortic root aneurysms are increasing in frequency, but techniques and results are still in evolution. We reviewed our experience with 65 patients (adults and children) who had this operation at our institution to determine early and late outcomes. A retrospective clinical review was undertaken using hospital records, clinical and echocardiographic, computed tomography, magnetic resonance imaging data, and telephone interviews with patients and their physicians. Between July 1994 and December 2002, 65 patients (46 adults and 19 children) underwent a valve-sparing operation for aortic root aneurysm. Forty-four of the patients had the Marfan syndrome; the remaining 21 had either a nonspecific connective tissue disorder (14 patients) or a miscellaneous disease process such as Ehlers-Danlos syndrome (7 patients). Fifty-eight (89%) had a David II (remodeling) procedure and 7 had a David I (reimplantation) procedure. The DePaulis "Valsalva graft" was used in six of the David I patients. There were no operative or hospital deaths; only one late death occurred in an adult due to salmonella meningitis. Overall, survival was 100% at one year and 98% at 3 and 5 years. Ten patients (7 adults and 3 children) deve...Continue Reading

References

Jul 1, 1968·Thorax·H Bentall, A De Bono
May 9, 2002·The Annals of Thoracic Surgery·Tirone E David
Nov 21, 2002·The Annals of Thoracic Surgery·Klaus KallenbachAxel Haverich

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Citations

Nov 21, 2007·General Thoracic and Cardiovascular Surgery·Hiroshi IidaHideo Ukita
Feb 9, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George MatalanisPhilip A R Hayward
Mar 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander M J BernhardtHermann Reichenspurner
Sep 12, 2007·Annual Review of Medicine·Daniel P Judge, Harry C Dietz
Aug 13, 2008·Circulation·Gail D PearsonUNKNOWN National Heart, Lung, and Blood Institute and National Marfan Foundation Working Group
Jan 1, 2011·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Emmanuel LansacMathieu Debauchez
Jun 7, 2006·The Heart Surgery Forum·Davide PaciniRoberto Di Bartolomeo
Aug 11, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Tirone E David
Jan 1, 2005·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Ruggero De PaulisLuigi Chiariello
Apr 3, 2013·Scandinavian Cardiovascular Journal : SCJ·Jaroslav BenedikHeinz Jakob
Dec 26, 2015·The Journal of Thoracic and Cardiovascular Surgery·Joel PriceDuke E Cameron
Jul 4, 2012·The Annals of Thoracic Surgery·James S TweddellMichael E Mitchell
Aug 2, 2011·The Annals of Thoracic Surgery·Nishant D PatelLuca A Vricella
May 10, 2011·Revista española de cardiología·Alberto FortezaJosé Cortina
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ruggero De PaulisLuigi Chiariello
Jan 1, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giedrius BaliulisMarkku O Kaarne
Sep 23, 2009·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidTimothy J Bradley
May 26, 2009·The Journal of Thoracic and Cardiovascular Surgery·Melanie D EverittAnji T Yetman
Mar 28, 2009·The Annals of Thoracic Surgery·Philip J HessTomas D Martin
May 24, 2008·The Annals of Thoracic Surgery·Nishant D PatelDuke E Cameron
Apr 9, 2008·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Giorgio ZanottiDuke Cameron
Dec 25, 2007·Current Problems in Cardiology·Naser M AmmashHeidi M Connolly
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Duke E Cameron, Luca A Vricella
Dec 13, 2006·Seminars in Thoracic and Cardiovascular Surgery·Thomas G Gleason
Aug 25, 2006·The Annals of Thoracic Surgery·Davide PaciniRoberto Di Bartolomeo
Jul 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidManjula Maganti
Jul 26, 2006·The Annals of Thoracic Surgery·Nishant D PatelDuke E Cameron
Dec 6, 2005·Lancet·Daniel P Judge, Harry C Dietz
Sep 27, 2005·The Annals of Thoracic Surgery·Johannes M AlbesMartin Hartrumpf
Apr 28, 2007·The Annals of Thoracic Surgery·Akhtar RamaIradj Gandjbakhch
Feb 20, 2007·The Annals of Thoracic Surgery·Lars G SvenssonBruce W Lytle
Jan 30, 2007·The Annals of Thoracic Surgery·D Craig Miller
Jan 30, 2007·The Annals of Thoracic Surgery·Hugues JeanmartGebrin El Khoury
Jan 30, 2007·The Annals of Thoracic Surgery·Armin W ErasmiMartin Misfeld
Oct 1, 2011·The Journal of Thoracic and Cardiovascular Surgery·Laurent de KerchoveGebrine El Khoury
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Hans-Joachim SchäfersDiana Aicher
Aug 6, 2016·Journal of the American College of Cardiology·Tirone E David
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Adrian RangaRaymond Cartier
Aug 1, 2009·Asian Cardiovascular & Thoracic Annals·Hiroshi IzumotoFumio Yamamoto
Apr 3, 2008·Asian Cardiovascular & Thoracic Annals·Hitoshi OginoHiroaki Sasaki
Oct 9, 2007·Current Opinion in Cardiology·Shafie S Fazel, Tirone E David
Feb 4, 2010·Current Opinion in Cardiology·Jan D SchmittoEdward P Chen
Feb 19, 2015·International Surgery·Theddeus O H Prasetyono, Ade S N Sitorus
Aug 2, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Anne Moreau de BellaingOlivier Raisky

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