Aortic root replacement with composite valve graft

Pacini, Davide; Ranocchi, Federico; Angeli, Emanuela; Settepani, Fabrizio; Pagliaro, Marco; Suàrez, Sofia Martìn; Bartolomeo, Roberto Di; Pierangeli, A

doi:10.1016/s0003-4975(03)00265-0

Cited by 61 publications

(50 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the volume of CVG procedures has increased steadily over the 18 years of this report, early mortality rates have not changed in the last 15 …”

Section: Early Mortalitymentioning

confidence: 87%

“…Thus, this national study confirms previous single center reports that composite valve graft replacement can be performed with a reasonable operative risk and excellent longterm survival. 4,10,15,16 In most published series the longerterm survival figures for AVR are Ϸ80% to 85% at 5 years, 65% to 75% at 10 years, 45% to 55% at 15 years and for CVG 70% to 80% at 5 years, 60% to 70% at 10 years and 50% to 65% at 15 years, respectively. 4,6,10,15,17,18 The survivals reported in this national cohort study are similar.…”

Section: Kalkat Et Al Composite Aortic Valve Graft Replacement Outcommentioning

confidence: 99%

See 1 more Smart Citation

Composite Aortic Valve Graft Replacement

Kalkat

Edwards²,

Taylor³

et al. 2007

Circulation

View full text Add to dashboard Cite

show abstract

“…Although the volume of CVG procedures has increased steadily over the 18 years of this report, early mortality rates have not changed in the last 15 …”

Section: Early Mortalitymentioning

confidence: 87%

Section: Kalkat Et Al Composite Aortic Valve Graft Replacement Outcommentioning

confidence: 99%

Composite Aortic Valve Graft Replacement

Kalkat

Edwards²,

Taylor³

et al. 2007

Circulation

View full text Add to dashboard Cite

show abstract

“…The Bentall procedure was first described in 1968 [14] and has become a standard method for aortic root replacement with reimplantation of the coronary arteries using a composite graft [15]. This technique is most commonly used to treat conditions such as root and ascending aortic aneurysms or type A dissections.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Quality of Life Perceived by Patients with Bioprosthetic versus Mechanical Valves after Composite Aortic Root Replacement

et al. 2015

View full text Add to dashboard Cite

Objective: To assess whether postoperative quality of life (QOL) for composite aortic root replacement patients differs according to whether it is based on the use of mechanical valves or bioprosthetic valves. Methods: The study included 146 consecutive patients who underwent composite aortic root replacement at our institution from January 2010 to April 2014 with bioprosthetic (34.9%, n = 51) and mechanical (65.1%, n = 95) valves. Patient-perceived QOL was measured by administering the Short Form (SF)-36v2 Health Survey and a series of supplemental questions to further evaluate valve-specific differences. Final survey participation (n = 121) included 82.9% of the qualifying patients, and involved 76.5% (39/51) of those with bioprosthetic valves and 86.3% (82/95) of those with mechanical valves. Reasons for not completing the survey included 5 expired patients (3.4%), 1 lost due to a language barrier (0.7%), 6 who refused to participate (4.1%) and 13 who were lost to follow-up (8.9%). The mean follow-up time was 32 months (range 4-56 months). Results: Patients in the bioprosthetic valve group were older (mean age 67.5 ± 13.6 years) and included more females (25.6% or 10/39) than those in the mechanical valve group (mean age 56.6 ± 12.0 years; 11.0% or 9/82 were female). No significant differences were found between the bioprosthetic and mechanical valve groups for any QOL aspects scored by the SF-36v2 survey. All 8 domains and 2 summary scales comprising the QOL evaluation were above national norms calculated using gender- and age-matched, norm-based scoring for a standard national average of 50. The supplemental questions indicated satisfaction with each valve type despite characteristics that were of concern to patients. In the mechanical valve group, 90.2% (74/82) reported that the audible valve click was not troublesome, 85.4% (70/82) that taking a blood thinner regularly did not affect daily life and 81.7% (67/82) that blood testing for anticoagulation therapy was not troublesome. Conclusions: Receiving a tissue or a mechanical valve does not directly affect postoperative QOL. Answers to supplemental questions suggest that prior concerns with mechanical valves do not affect patients in the commonly anticipated negative manner. The preconception of a heavy QOL burden for mechanical composite grafts is contradicted by this study.

show abstract

“…In 1968, Bentall and DeBono described the technique of complete replacement of the aortic root with a mechanical valve. This procedure offers reliable outcomes, good reproducibility and relative simplicity of performance, as well as decent long-term survival and mortality [7][8][9]. It is not surprising that complete aortic root replacement with a composite valve graft has become a widely used method for treating the aforementioned pathology.…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, in spite of the obvious advantages that this method could offer, there are some drawbacks related to the use of the mechanical valve, namely, the need for lifelong anticoagulant therapy and the risk of bleeding that might accompany the latter, prosthetic endocarditis, valve dysfunction, and thromboembolism. Therefore, a growing number of surgeons tend to select valve-sparing surgery as their operation of choice [8,[10][11][12]. The survival and fre- [11,12].…”

Section: Introductionmentioning

confidence: 99%

KARDIOCHIRURGIA DOROSŁYCH Extravalvular exoprosthetic repair of aortic root: first experience

Cherniavsky¹,

Альсов²,

Хван³

et al. 2012

kitp

View full text Add to dashboard Cite

StreszczenieWstęp: Zrozumienie procesów leżących u podstaw progresji niewydolności u pacjentów z patologiami aorty wstępującej oraz budowy i funkcji korzenia aorty położyło fundament pod wynalezienie i implementację pozazastawkowej egzoprotetycznej naprawy korzenia aorty (technika Florida sleeve). Materiał i metody: Badaniem objęto 10 pacjentów z tętnia-kiem aorty wstępującej z towarzyszącą niewydolnością aorty (aortic insufficiency -AI) w stopniu od umiarkowanego do ciężkiego. U pacjentów wykonano pozazastawkową egzoprotetyczną naprawę korzenia aorty (techniką Florida sleeve), a następnie poddano ich 30-dniowej obserwacji pooperacyjnej. Średnia ich wieku wyniosła 52,2 ±18,28 roku. Ujawniono następujące choroby towarzyszące: rozwarstwienie aorty u 3 pacjentów (u 2 -typ I DeBakeya, u 1 -typ II DeBakeya), oraz zespół Marfana u 2 pacjentów. Dane gromadzono zarów-no przed zabiegiem, jak i pooperacyjnie. Wyniki: Badania EKG wykonywane podczas obserwacji pooperacyjnej wskazują na zmniejszenie niewydolności aorty ze średniej wartości 2,4 ±0,7 przed operacją do 0,9 ±0,74 (p = 0,01) po operacji. Należy wspomnieć również o wstecznej przebudowie (reverse remodeling) lewej komory: objętość końcoworozkurczowa (end-diastolic volume -EDV) zmniejszyła się z 157,06 ±43,97 ml przed operacją do 127,88 ±48,91 ml (p = 0,2) po operacji. W ciągu 30 dni obserwacji pooperacyjnej nie była potrzebna żadna powtórna operacja niewydolności aorty. W ciągu 30 dni nastąpił jeden zgon pacjenta. Wnioski: Wczesne wyniki pozazastawkowej egzoprotetycznej naprawy korzenia aorty są zadowalające. Bez wątpienia do zbadania krótko-i długoterminowych rezultatów potrzebne byłoby uczestnictwo większej liczby pacjentów. Umożliwiłoby to ustalenie okoliczności, które dyktowałyby wybór tej metody podczas dobierania techniki operacyjnej dla pacjentów z tętnia-kiem aorty wstępującej z towarzyszącą niewydolnością aorty. Słowa kluczowe: tętniak aorty, niewydolność aorty, naprawa aorty. KARDIOCHIRURGIA DOROSŁYCH AbstractBackground: Understanding the processes underlying insufficiency progression in patients with ascending aortic pathologies, as well as the structure and aortic root function, has become the basis for the development and implementation of extravalvular exoprosthetic repair of the aortic root (the Florida sleeve procedure). Material and methods: The study encompassed 10 patients with ascending aortic aneurysm with concomitant aortic insufficiency (AI) (from moderate to severe) who underwent extravalvular exoprosthetic repair of the aortic root (the Florida sleeve technique) and had a 30-day early postoperative follow-up. The mean age was 52.2 ±18.28 years. The following concomitant diseases were revealed: aortic dissection in 3 patients (DeBakey type I in 2, DeBakey type II in 1), and Marfan syndrome in 2 patients. Data were acquired preoperatively and postoperatively. Results: Postoperative echocardiographic studies demonstrate that the degree of AI decreased from the average value of 2.4 ±0.7 preoperatively down to 0.9 ±0.74 (p = 0.01) postoperativel...

show abstract

Aortic root replacement with composite valve graft

Cited by 61 publications

References 22 publications

Composite Aortic Valve Graft Replacement

Composite Aortic Valve Graft Replacement

Comparison of Quality of Life Perceived by Patients with Bioprosthetic versus Mechanical Valves after Composite Aortic Root Replacement

KARDIOCHIRURGIA DOROSŁYCH Extravalvular exoprosthetic repair of aortic root: first experience

Contact Info

Product

Resources

About