Off-Pump Plicating Ascending Aortoplasty With External Wrapping: Magnum in Parvo
| Autor: | Miloš Grujić, D Cvetkovic, Mladen J. Kocica, Milica Karadzic, Ljiljana Soskic |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Surgical strategy Contrast Media Fusiform Aneurysm Dissection (medical) 030204 cardiovascular system & hematology Dacron graft 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery Multidetector Computed Tomography Ascending aorta medicine Humans 030212 general & internal medicine Surgical treatment Aorta Aged Natural course business.industry medicine.disease Sternotomy Aortic Aneurysm Surgery Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Heart, Lung and Circulation. 28:1866-1871 |
| ISSN: | 1443-9506 |
| DOI: | 10.1016/j.hlc.2018.10.018 |
| Popis: | Background Isolated, fusiform aneurysms, exclusively affecting the tubular portion of the ascending aorta, are rare. Surgical treatment aims to change their natural course, reducing individual and cumulative risks of rupture, dissection and death. Open tubular graft replacement still remains the procedure of choice, despite significant risks. In permanent pursuit for optimal, alternative surgical strategy in high-risk patients, less invasive and off-pump plicating ascending aortoplasty with modified external Dacron graft wrapping seems to be a reliable choice. Methods Two (2) consecutive patients were operated on. The same preoperative calculations and slightly different operative techniques were applied regarding surgical exposure and wrapping graft orientation. Immediate and late follow-up (5 years) results were compared. Results Absolute and indexed target ascending aortic diameters remained acceptable ( Conclusions Careful patient selection and using the current model of preoperative calculations and surgical technique resulted in acceptable and stable ascending aortoplasty in high-risk patients 5 years after surgery. |
| Databáze: | OpenAIRE |
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