Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement
| Autor: | Mario Zogno, Vinicio Fiorani, Ermal Likaj, Andrea Nocchi, Ernesto Tappainer, Sabjan Memishaj |
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| Rok vydání: | 2006 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Male medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Biocompatible Materials Case Report Prosthesis lcsh:RD78.3-87.3 Aortic aneurysm Aortic valve replacement medicine.artery Internal medicine Ascending aorta Medicine Humans Aorta Aged Heart Valve Prosthesis Implantation business.industry Polyethylene Terephthalates General Medicine lcsh:RD1-811 Aortic Valve Stenosis medicine.disease Cardiac surgery Surgery Aortic Aneurysm medicine.anatomical_structure lcsh:Anesthesiology Aortic valve stenosis Cardiology cardiovascular system business Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of Cardiothoracic Surgery Journal of Cardiothoracic Surgery, Vol 2, Iss 1, p 15 (2007) |
| ISSN: | 1749-8090 |
| Popis: | Background Techniques of reduction aortoplasty are widely published in the literature with conflicting results. External support seems to be an important factor in preventing recurrence but, in some cases, this technique caused erosion of the aorta because of the wrinkles the prosthesis creates in the rear side of the aorta. Case presentation A 73 year old patient with aortic valve stenosis and borderline dilated ascending aorta had aortic valve replacement and simple wrapping without aortoplasty. To avoid the formation of wrinkles, the dacron external support was tailored appropriately to obtain a curved, custom-made prosthesis. This custom-made prosthesis had the same diameter as the dilated aorta and, after valve replacement, fitted it properly. After 18 months neither computerized axial tomography nor ecocardiography detected wrinkles or dilatation recurrence. Conclusion A safe, simple and probably new way to prepare an external wrapping is presented, which in this patient respected the shape of the aorta and prevented the formation of wrinkles in the prosthesis and possible complications such as wall erosion. |
| Databáze: | OpenAIRE |
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