Midterm follow up in patients with reduction ascending aortoplasty
| Autor: | Anton Moritz, Arndt H Kiessling, Andreas Zierer, Ulrich A. Stock, Alexandra Miskovic, Eva Odwody |
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| Jazyk: | angličtina |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Reoperation medicine.medical_specialty Heart Diseases Postoperative Hemorrhage Aortic aneurysm Young Adult Aneurysm Recurrence medicine.artery Internal medicine Ectasia Ascending aorta medicine Humans Aortic rupture Prolene Aorta Aged Aged 80 and over business.industry Reduction ascending aortoplasty Follow-up study EuroSCORE General Medicine Middle Aged medicine.disease Survival Analysis Surgery Aortic Aneurysm Treatment Outcome Cardiology cardiovascular system Female business Cardiology and Cardiovascular Medicine Vascular Surgical Procedures Dilatation Pathologic Follow-Up Studies Research Article Predictor |
| Zdroj: | Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| DOI: | 10.1186/1749-8090-9-120 |
| Popis: | Background The reduction ascending aortoplasty in patients with an aortic ectasia/dilatation is a common procedure during concomitant cardiac operations. Aim of the follow up study was the evaluation of possible re-dilatation and complications. Methods From 1998 to 2010 124 patients (69% male; mean age 66.6 ± 12 ys) with ectasia of the ascending aortic who had no further indication for an aortic replacement, were included. The mean preoperative diameter of the ascending aorta was 4.2 ± 0.6 cm. The patients risk profile was moderate (mean EF 51% ± 11%, Euroscore 4.2 ± 2.1). To treat the dilatation of the ascending aorta, a longitudinal incision was performed and a strip of the aortic wall was resected. A reduction aortoplasty was carried out with a double-layered suture line using a 4/0 Prolene mattress suture with an additional 4/0 Prolene running suture. A follow up (rate 95%) was performed by echocardiography- and clinical examination. Results All patients underwent reduction aortoplasty associated with a primary cardiac surgical procedure (AVR 63%, CABG 13%, other or combination 24%). The intrahospital mortality rate was 4%. Four aortic bleeding complications occurred. After a mean postoperative period of 57 ± 39 months, the ascending aortic diameter (3.6 ± 0.6 cm) was still significantly (P |
| Databáze: | OpenAIRE |
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