Key result
Composite repair of annuloaortic ectasia in 7 patients resulted in no operative or long-term mortalities, no major complications, and an average NYHA class upgrade of 1.6.
Why the study?
Does total replacement of the aortic valve and ascending thoracic aorta with a valved aortic prosthesis improve outcomes in patients with annuloaortic ectasia?
Observational (n=7)
No
Does total replacement of the aortic valve and ascending thoracic aorta with a valved aortic prosthesis improve outcomes in patients with annuloaortic ectasia?
The composite approach of total replacement of the aortic valve and ascending thoracic aorta with a valved prosthesis is safe and effective for patients with annuloaortic ectasia, resulting in no mortalities and improved NYHA class in a small series.
Hemodynamically significant aortic insufficiency can result from dilatation of the aortic valve annulus in association with an ascending aortic aneurysm (annuloaortic ectasia). Controversy has centered around the optimal surgical management. This study evaluates the results of total replacement of the aortic valve and ascending thoracic aorta with a valved aortic prosthesis and reimplantation of the coronary arteries in a small series. In 7 patients with a mean preoperative New York Heart Association Classification (NYHAC) of III, there have been no operative or long-term mortalities, and the average upgrade in NYHAC is 1.6. There have been no major complications or technical difficulties. The composite approach to the repair of patients with annuloaortic ectasia is described and advocated.
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Clevenger et al. (1986) conducted an observational in Annuloaortic ectasia (n=7). Total replacement of the aortic valve and ascending thoracic aorta with a valved aortic prosthesis and reimplantation of the coronary arteries was evaluated on Operative or long-term mortalities. Composite repair of annuloaortic ectasia in 7 patients resulted in no operative or long-term mortalities, no major complications, and an average NYHA class upgrade of 1.6.
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