Transesophageal echocardiographic description of the mechanisms of aortic regurgitation in acute type a aortic dissection: implications for aortic valve repair

2001 ◽  
Vol 10 (1) ◽  
pp. 45
Author(s):  
H.D. Movsowitz ◽  
R.A. Levine ◽  
A.D. Hilgenberg ◽  
E.M. Isselbacher
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Type A ◽  
Aortic Valve Repair ◽  
Acute Type ◽  
Valve Repair ◽  
Type A Aortic Dissection

scholarly journals 101 * AORTIC VALVE REPAIR IN ACUTE TYPE A AORTIC DISSECTION

2013 ◽  
Vol 17 (suppl 2) ◽  
pp. S93-S93
Author(s):  
R. Saczkowski ◽  
T. Malas ◽  
G. El Khoury ◽  
T. Mesana ◽  
M. Boodhwani
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Type A ◽  
Aortic Valve Repair ◽  
Acute Type ◽  
Valve Repair ◽  
Type A Aortic Dissection

Aortic Valve Repair in Acute Type-A Aortic Dissection

2013 ◽  
Vol 29 (10) ◽  
pp. S222
Author(s):  
R. Saczkowski ◽  
T. Malas ◽  
G. El Khoury ◽  
T. Mesana ◽  
M. Boodhwani
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Type A ◽  
Aortic Valve Repair ◽  
Acute Type ◽  
Valve Repair ◽  
Type A Aortic Dissection

scholarly journals Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection

2019 ◽  
Vol 30 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Yasuyuki Kato ◽  
Kenichi Sasaki ◽  
Hidetaka Yamauchi ◽  
Yasuyuki Kanno ◽  
Taiyo Jinno ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
External Ring ◽  
Ring Annuloplasty

Abstract OBJECTIVES To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection. METHODS From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated. RESULTS The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of <1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement. CONCLUSIONS Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.

scholarly journals Aortic valve repair in type A aortic dissection

2019 ◽  
Vol 5 ◽  
pp. 79-79
Author(s):  
Alessandro Leone ◽  
Giacomo Murana ◽  
Luca Di Marco ◽  
Luca Botta ◽  
Marianna Berardi ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Type A ◽  
Aortic Valve Repair ◽  
Valve Repair ◽  
Type A Aortic Dissection

PP-064 Acute Type a Aortic Dissection Complicated By Severe Aortic Regurgitation and Pulmonary Edema

2016 ◽  
Vol 117 ◽  
pp. S64-S65
Author(s):  
Zafer İsilak ◽  
Ugur Kucuk ◽  
Mustafa Aparci ◽  
Murat Yalcin ◽  
Mehmet Dogan ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Pulmonary Edema ◽  
Aortic Regurgitation ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Severe Aortic Regurgitation

scholarly journals Florida Sleeve is a Safe and Effective Technique for Valve Salvage in Acute Stanford Type A Aortic Dissection

2021 ◽  
Author(s):  
Mahmoud Alhussaini ◽  
Eric Jeng ◽  
Tomas Martin ◽  
Amber Filion ◽  
Thomas Beaver ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Root ◽  
Type A ◽  
Long Term Results ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Valve Sparing

Objective: Valve-sparing root replacement is commonly used for management of aortic root aneurysms in elective setting, but its technical complexity hinders its broader adoption for acute Type-A Aortic Dissection (ATAAD). The Florida Sleeve (FS) procedure is a simplified form of valve sparing aortic root reconstruction that does not require coronary reimplantation. Here, we present our outcomes of the Florida Sleeve (FS) repair in patients with dilated roots in the setting of an ATAAD. Methods: We retrospectively reviewed 24 consecutive patients (2002-2018) treated with FS procedure for ATAAD. Demographic, operative, and postoperative outcomes were queried from our institutional database. Long term follow-up was obtained from clinic visits for local patients, and with telephone and telehealth measures otherwise. Results: Mean age was 49 ± 14 years with 19 (79%) males. Marfan syndrome was present in 4 (16.7%) patients and 14 (58.3) had ≥2+ aortic insufficiency (AI). Nine (37.2%) had preoperative mal-perfusion or shock. The FS was combined with hemi-arch replacement in 15 (62.5%) patients and a zone-2 arch replacement in 9 (37.5%) patients. There were 2 (8.3%) early postoperative mortalities. Median follow-up period was 46 months (range; 0.3-146). The median survival of the entire cohort was 143.4 months. One patient (4.2%) required redo aortic valve replacement for unrelated aortic valve endocarditis at 30 months postoperatively. Conclusion: FS is simplified and reproducible valve-sparing root repair. In appropriate patients, it can be applied safely in acute Stanford type-A aortic dissection with excellent early and long-term results.

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