March 13, 2008European Journal of Cardio-Thoracic SurgeryOpen Access

Redo aortic root surgery for failure of an aortic homograft is a major technical challenge☆

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Population

20 consecutive patients undergoing repeat surgery for aortic homograft failure, mean age 38.8+/-14.9 years.

Design

Cohort

Follow-up

74 months

Authors

TJThomas JoudinaudInstitut du Cerveau FBFranck BaronUniversité Grenoble Alpes RRRichard RaffoulAssistance Publique – Hôpitaux de Paris

Discussion

Member takes

Implication

High perioperative risks in redo aortic root surgery warrant careful patient selection; leaves open need for comparative studies on alternatives in homograft failure.

Structured PICO

Population

20 consecutive patients undergoing repeat surgery for aortic homograft failure (indication: homograft degeneration n=18, endocarditis n=2), mean age 38.8+/-14.9 years.

Intervention

Repeat surgery for aortic homograft failure (aortic root reconstruction or stented prosthesis implantation, with or without additional procedures).

Outcome

Perioperative complications and early mortalityhard clinical

Redo aortic root surgery for homograft failure carries high perioperative morbidity (35%) and mortality (10%), but offers excellent long-term freedom from reoperation for survivors.

Cite This Study

Joudinaud et al. (2008) studied this question.

synapsesocial.com/papers/6a708d5dc1a24a6142db891a https://doi.org/10.1016/j.ejcts.2008.01.054

Topics

Valvular heart disease

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Implication

High perioperative risks in redo aortic root surgery warrant careful patient selection; leaves open need for comparative studies on alternatives in homograft failure.

Redo aortic root surgery for failure of an aortic homograft is a major technical challenge☆

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Redo aortic root surgery for failure of an aortic homograft is a major technical challenge☆

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider