Early and Midterm Results of 78 Ascending Aortic Aneurysm Cases after Surgical Treatment

Abstract

Background: Ascending aortic aneurysms are lesions that should be surgically handled because of their life-threatening complications like rupture and dissection. The surgical treatments and the early-middle term results in patients with ascending aortic aneurysm were presented in this study. Method: We retrospectively examined the records of 78 patients who underwent surgical treatment due to ascending aortic aneurysm between Aug 2006 and July 2018. The patients ranged in age from 24 to 77 years old (mean; 51.7 ± 9.8). There were 54 (69.2%) men and 24 (30.8%) women. Fifty-eight (74.3%) patients had Marfan's Syndrome. There was coronary arterial disease, mitral stenosis, aortic regurgitation, aortic stenosis, and aortic coarctation in 12, 3, 22, 7 and 2 patients, respectively. The emergency surgical treatment was required in 41 (52.5%) patients. Results: Only, 55 (70.5%) patients had performed ascending aortic replacement. Bentall procedure was performed in the 14 patients, aortic valve replacement + ascending aortic graft replacement was made in 9 patients as separate replacement. In 14 patients totally circulatuar arrest was used. The operative mortality was occurred in 3 (3.8%) patients with Bentall procedure and the early postoperative mortality occurred in 1 (1,3%) patient with aortic coarctation. Discussion: The enlargement process of the aortic diameter was should be close monitored and operated un-ruptured in ascending aortic aneurysms. Besides, Bentall procedure provids excellent results in terms of reduced complications and good cardiac functions in the patients with Marfan's Syndrome with the aortic root dilatation.