Aortic Root Remodeling With Aortic Annuloplasty  Mid-Term Results

Kazui, Toshinobu; Tsuboi, Junichi; Izumoto, Hiroshi; Nakajima, Takayuki; Ishihara, Kazuaki; Kawazoe, Kohei

doi:10.1253/circj.71.207

Cited by 15 publications

(4 citation statements)

References 16 publications

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“…Although results, following introduction of the Bentall procedure, have steadily improved, over the last decade, various kinds of valve-sparing operations have become an attractive alternative to replacement of the aortic root, improving survival with fewer complications and better quality of life, even in patients with Marfan syndrome 6-9. However, due to the complexity of the procedure it is still regarded as a challenging procedure, especially in emergency settings, e.g.…”

Section: Discussionmentioning

confidence: 99%

Clinical Experience with the Bentall Procedure: 28 Years

et al. 2012

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PurposeWe retrospectively analyzed 28 years of experience with the Bentall procedure in patients with aortic valve, aortic root, and ascending aortic disease.Materials and MethodsBetween March 1982 and December 2010, a total of 218 patients underwent the Bentall procedure using a composite valved conduit. The "inclusion technique" was used in 30 patients (13.8%), the "open-button technique" in 181 patients (83.0%), and the Cabrol technique in 7 patients (3.2%).ResultsThe early mortality rate was 5.5% (12/218). The mean follow-up duration was 108.0±81.0 months (range: 1-329 months). Seven patients required re-operation, and 1 patient required stent graft insertion at the descending thoracic aorta for progression of aortic arch or descending thoracic aortic dissection or aneurysm after the first operation, and 5 of them had Marfan syndrome. Kaplan-Meier estimated survival rates at 1, 5, 10, 20, and 25 years were 90.4%, 82.7%, 77.6%, 65.3%, and 60.3%, respectively. Freedom from reoperation rates at 1, 5, 10, 20, and 25 years were 99.0%, 98.3%, 95.5%, 90.8%, and 90.8%, respectively.ConclusionIn our experience, the Bentall procedure provided optimal survival with improved functional status. The disease of the aorta may progress, especially in patients with Marfan syndrome. Therefore, careful follow-up with regular computed tomography angiograms should be performed in these patients.

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Section: Discussionmentioning

confidence: 99%

Clinical Experience with the Bentall Procedure: 28 Years

et al. 2012

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“…The question remains whether the AVJ should be addressed separately and how it should be done. As an alternative to reimplantation, a subvalvular circular annuloplasty using a polytetrafluoroethylene (PTFE) ring combined with a remodeling technique was performed by Kazui and associates, 19 who showed favorable midterm results. Svensson and colleagues 20 proposed a modification of the remodeling procedure with placement of a subannular PTFE suture tied around a Hegar dilator.…”

Section: Discussionmentioning

confidence: 99%

Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair

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et al. 2012

The Journal of Thoracic and Cardiovascular Surgery

153

106

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“…Klinické výsledky obou metod jsou stěží odlišitelné, v reálné praxi si ale větší popularitu získala technika reimplantace -především pro silný prvek stabilizace rozměrů aortálního kořene (zejména u nemocných s Marfanovým syndromem) [35]. Fyziologické výhody remodelace jsou nově oceňovány v posledních letech v kombinaci s anuloplastikou, nejčastěji pomocí zevního prstence [36,37].…”

Section: Remodelace a Reimplantaceunclassified

A history of the surgical treatment of aortic regurgitation

et al. 2015

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Záchovné operace aortální chlopně jsou pro nemocného významným přínosem v léčbě jeho chlopenního onemocnění. Plastika aortální chlopně je v porovnání s mitrální a trikuspidální chlopní technicky náročnější vzhledem ke specifi cké morfologii chlopně. Autoři podávají přehled vývoje chirurgických konceptů obnovení aortální domykavosti. V průběhu sedmdesáti let bylo v kontextu soudobých znalostí navrženo mnoho inovativních postupů ve snaze o nalezení účinného, bezpečného a trvanlivého rekonstrukčního řešení. Soudobé soustředění se na tři geometrické komponenty aortální domykavosti je logickým vyústěním tohoto vývoje.

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Aortic Root Remodeling With Aortic Annuloplasty Mid-Term Results

Cited by 15 publications

References 16 publications

Clinical Experience with the Bentall Procedure: 28 Years

Clinical Experience with the Bentall Procedure: 28 Years

Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair

A history of the surgical treatment of aortic regurgitation

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