Why the study?
Does aortic remodelling and external wall support improve early mortality and 8-year survival compared to composite or supracoronary graft replacement in patients with a dilated ascending aorta undergoing AVR?
Population
291 consecutive patients with a dilated ascending aorta treated during aortic valve replacement (AVR)
Comparison
Aortic remodelling and external wall support vs Composite graft replacement and supracoronary…
Design
Cohort
Follow-up
8 years
Authors
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May support aortic remodelling plus external support in dilated-aorta AVR; leaves open randomized confirmation before practice change.
Does aortic remodelling and external wall support improve early mortality and 8-year survival compared to composite or supracoronary graft replacement in patients with a dilated ascending aorta undergoing AVR?
Conservative aortic surgery with preservation of the endothelial lining (aortic remodelling and external wall support) yields superior early and late survival compared to graft replacement in patients with a dilated ascending aorta undergoing AVR.
Carrel et al. (1991) studied this question.
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