Why the study?
What are the outcomes of combined replacement of the ascending aorta and aortic valve in patients with chronic calcified aortic stenosis?
What are the outcomes of combined replacement of the ascending aorta and aortic valve in patients with chronic calcified aortic stenosis?
Combined replacement of the ascending aorta and aortic valve in patients with chronic calcified aortic stenosis is feasible with a 9% postoperative mortality rate in this small series.
May be feasible in select cases; leaves open the need for larger studies on safety and outcomes.
Between 1978 and 1986, 442 aortic valvular replacements were performed for chronic calcified aortic stenosis. In 11 patients (2.5%, seven men and four women) replacement of the ascending aorta was associated with the valvular replacement, because of: seven supra-coronary aneurysms, two aneurysms involving the Valsalva sinuses, and two acute dissections of the ascending aorta. The repair of the ascending aorta consisted in inserting: one patch on one Valsalva sinus, seven supra coronary Dacron prostheses, three valved conduits (according to the Bentall technique). One patient died postoperatively (9%).
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Guilmet et al. (1988) studied this question.
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