scholarly journals Is aortic valve-sparing operation or replacement with a composite graft the best option for aortic root and ascending aortic aneurysm?

2008 ◽  
Vol 8 (1) ◽  
pp. 134-147 ◽  
Author(s):  
C. Tourmousoglou ◽  
C. Rokkas
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Root ◽  
Composite Graft ◽  
Ascending Aortic Aneurysm ◽  
Valve Sparing

scholarly journals Ascending Aortic Aneurysm Repair Combined with Ozaki Procedure: Our First Experience

2020 ◽  
pp. 57-60
Author(s):  
A. Gabriyelyan ◽  
V. Beleyovych ◽  
T. Domansky ◽  
O. Beregovoy ◽  
S. Romanova ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Valve Disease ◽  
Surgical Correction ◽  
Ascending Aortic Aneurysm ◽  
Valve Reconstruction ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

  Introduction. Aortic valve disease is often combined with the ascending aortic aneurysm. According to a number of authors, the frequency of the diagnosis varies from 9 to 50%, and the condition requires one-stage surgical correction. Typically, in these cases, mechanical or biologic prostheses are used. The Ozaki procedure allows such operations to be performed without replacing the aortic valve with an artificial prosthesis. The aim. To analyze the results of aortic valve reconstruction using the Ozaki technique combined with ascending aortic aneurysm repair. Materials and methods. The article describes the first experience of treatment of 12 patients with aortic valve disease and ascending aortic aneurysm. All the patients underwent Ozaki procedure modified by J. Benedik with surgical correction of aneurysm of the ascending aorta and the aortic arch. Results and discussion. No deaths were observed in the postoperative period. There was no conversion to aortic valve replacement. Ultrasound imaging after 3 and 6 months revealed no aortic valve dysfunction. Clinically, patients’ well-being was satisfactory and they returned to normal life. Long-term results of these operations interventions require further study. Conclusions. Our first clinical experience showed promising short- and medium-term results. The indications for aortic valve reconstruction are the same as those for valve replacement with a bioprosthesis. Ozaki procedure can be successfully combined with ascending aortic aneurysm repair. The main advantage is the absence of a frame that does not narrow the opening area of the valve and preserves the aortic root function, which is very important for patients with a narrow aortic root.

Case 5.19

2014 ◽  
pp. 278-279
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Ascending Aorta ◽  
Ascending Aortic Aneurysm ◽  
Hemiazygos Vein ◽  
History Of

67-year-old woman with a history of bicuspid aortic valve and ascending aortic aneurysm Axial (Figure 5.19.1) and coronal (Figure 5.19.2) fat-suppressed SSFP images show midline orientation of the liver and the absence of a spleen. The IVC is also absent, with a prominent hemiazygos vein in the abdomen and azygos and hemiazygos veins in the lower chest. The aortic root and ascending aorta are dilated....

scholarly journals Aortitis as a Rare Cause of Aortic Aneurysm and Valve Regurgitation: Is Repair Precluded?

2018 ◽  
Vol 2018 ◽  
pp. 1-2
Author(s):  
Carlos Porras ◽  
Gemma Sanchez-Espin ◽  
Miguel Such ◽  
Jesús Sánchez-Ramos ◽  
Alicia Bautista-Pavés ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Root ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Aortic Root Aneurysm ◽  
Aortic Root Dilatation ◽  
Valve Sparing

Aortitis is an infrequent cause of aortic root dilatation and aortic valve regurgitation. Valve-sparing procedures have been proposed, but there is not clear evidence of which is the treatment of choice. We report the case of a 38-year-old pregnant lady with a diagnosis of idiopathic aortitis associated with aortic root aneurysm and severe aortic valve regurgitation.

New Technique of Aortic Root Reconstruction With Aortic Valve Annuloplasty in Ascending Aortic Aneurysm

2007 ◽  
Vol 83 (5) ◽  
pp. 1908-1910 ◽  
Author(s):  
Akhtar Rama ◽  
Sylvain Rubin ◽  
Nicolas Bonnet ◽  
Iradj Gandjbakhch
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Root ◽  
New Technique ◽  
Ascending Aortic Aneurysm

scholarly journals Valve-Sparing Operation in Patients with Aortic Root Aneurysm

2020 ◽  
pp. 53-56
Author(s):  
A. S. Tsvyk ◽  
A. M. Dovgan ◽  
S. V. Varbanets ◽  
V. V. Payuk ◽  
A. Y. Pukas
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Root ◽  
Total Mortality ◽  
Postoperative Results ◽  
Old Patients ◽  
Aortic Root Aneurysm ◽  
Native Aortic Valve ◽  
Valve Insufficiency ◽  
Valve Sparing

  Background. Aortic root aneurysm is rare but life-threatening disease which affects not only aortic wall, but aortic valve as well. Valve-sparing operation was developed by Tirone David and gave a chance to save native aortic valve in patients with aortic root aneurysm and to avoid aortic valve replacement. The aim. To analyze postoperative results and complications after aortic valve-sparing operation in patients with aortic root aneurysm. Materials and methods. Sixteen patients with aortic root aneurysm were operated at the Ukrainian Children’s Cardiac Center (UCCC) during the period from 2012 to 2018. The patients underwent aortic root reimplantation. Results. Postoperative results were analyzed in 100% cases. Mean postoperative follow-up period was 25.6 ± 13.3 months. Total mortality was 0%. No patients required re-operation due to aortic aneurysm or that on aortic valve. Conclusions. Collected data indicates that aortic root reimplantation is the procedure which can be chosen both for young and old patients. This is the procedure with lower risks and mortality comparing to aortic root replacement. It gives chance to preserve native aortic valve and its adequate functioning. Postoperative observation results indicate long-term freedom from reoperation due to aortic aneurysm and aortic valve insufficiency. This procedure is equally efficient in patients with either tricuspid or bicuspid aortic valve and can be efficiently implemented in patients with Marfan syndrome.

scholarly journals Bicuspid aortic valve disease and ascending aortic aneurysm: should an aortic root replacement be mandatory?

2015 ◽  
Vol 49 (1) ◽  
pp. 103-109 ◽  
Author(s):  
Igor Vendramin ◽  
Matteo Meneguzzi ◽  
Sandro Sponga ◽  
Laura Deroma ◽  
Rossella Cimarosti ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Aortic Valve Disease ◽  
Aortic Root Replacement ◽  
Valve Disease ◽  
Ascending Aortic Aneurysm

scholarly journals Fifteen Years Post Aortic Root Reconstruction of a Giant Ascending Aortic Aneurysm

2020 ◽  
Vol 23 (2) ◽  
pp. E125-E127
Author(s):  
Khaled E. Al-Ebrahim
Keyword(s):  
Renal Function ◽  
Aortic Aneurysm ◽  
Ejection Fraction ◽  
Aortic Root ◽  
Composite Graft ◽  
Aortic Root Replacement ◽  
Dramatic Improvement ◽  
Ascending Aortic Aneurysm ◽  
Normal Life ◽  
Successful Repair

This is a report of successful repair of a huge ascending aortic aneurysm of 13cm; it is the biggest aneurysm ever reported. Aortic root replacement using a composite graft and coronary implantation was done. There was dramatic improvement in ejection fraction and renal function post repair. This patient has been followed up on for 15 years with no complications and leads a relatively normal life.

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