Key result
Ascending aortic wrapping with polypropylene mesh maintains a stable 38 mm diameter without reoperation.
Why the study?
The wrapping technique for the ascending aorta was developed for high-risk patients, but long-term results of a standardized wrapping method needed evaluation.
Does the wrapping procedure of the ascending aorta using a polypropylene mesh safely maintain aortic size in patients with ascending aortic pathologies?
Observational (n=38)
No
Does the wrapping procedure of the ascending aorta using a polypropylene mesh safely maintain aortic size in patients with ascending aortic pathologies?
The off-pump ascending aorta wrapping technique using a polypropylene mesh safely maintains a stable aortic diameter without reintervention over long-term follow-up.
Hypothesis-generating for ascending aortic wrapping in high-risk patients; prospective trials needed before routine adoption.
The wrapping technique for the ascending aorta was developed for the treatment of high-risk patients. It is currently used to treat acute pathologies of the ascending aorta in patients with comorbidities or in high-risk situations. This study presents our long-term results with a standardized wrapping method. This retrospective single-center study analyzed data on various aortic diseases from January 2008 to December 2018. The aim of this study was to evaluate the long-term results of the wrapping procedure, with a focus on aortic size as the primary endpoint. Mortality and cerebrovascular events are the secondary endpoints. The wrapping procedure was performed in 38 patients (16 female and 22 male patients, mean EuroScore II 4.9, range 2.0–18.7). The intended size of the ascending aorta was achieved through the use of Prolene mesh. The postoperative median diameter was 38 mm (preoperative median 5.50, range 4.3–7.1). During the follow-up period of 52.0 months (range 2.3–183.8), no recurrence of dilatation or need for reoperation was observed. Perioperative mortality and 1-year mortality were 0%. The technique of covering the ascending aorta with a polypropylene mesh can be performed safely without the use of cardiopulmonary bypass. The technique allows for a predictable and stable diameter of the aortic wall without reintervention and with a longer follow-up period.
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Hofmann et al. (2026) conducted an observational in Ascending aorta pathologies (n=38). Aortic ascendens wrapping technique was evaluated on Size of the ascending aorta (postoperative median diameter in mm). The aortic ascending wrapping technique using a polypropylene mesh achieved a stable postoperative median aortic diameter of 38 mm with no recurrence of dilatation or need for reoperation.
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