Selected therapy for ascending aortic aneurysms

Archives of Surgery
C D CampbellH T Bahnson

Abstract

Since 1971, ten patients, 26 to 62 years of age, have undergone repair of ascending aortic aneurysms with concomitant aortic insufficiency. Three patients had Marfan's syndrome, five patients had cystic medial necrosis, one had leutic aortitis, and one had atherosclerotic involvement of the aorta. There was one operative death. Follow-up exceeds seven years. Because of the tendency for progressive annular and sinus dilation in Marfan's syndrome, composite graft and valve conduits with reimplantation of the coronary arteries is the procedure of choice. In selected patients with annulaortic ectasia, good valve tissue and no sinus dilation, bicuspidization of the valve, and replacement of the ascending aorta is indicated. The operation is generally less formidable than composite graft replacement, maintains normal coronary anatomy, and alleviates the long-term risks of anticoagulation.

Citations

Jul 1, 1980·The Annals of Thoracic Surgery·S HouserJ A DeWeese
Jul 11, 2003·Cardiology in Review·Sven R KantelhardtBuddhadeb Dawn

Related Concepts

Ascending Aorta Structure
Aortic Aneurysm
Aortic Valve Structure
Aortic Valve Insufficiency
Tissue-Engineered Vascular Graft
Heart Valve Prosthesis
Marfan Syndrome
Veins

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