Key result
A review of surgical treatments for ascending aortic aneurysms suggests that composite graft replacement may be preferred for patients with cystic medial degeneration to prevent late sinus aneurysms.
This review highlights the shift towards early operative intervention for acute aortic dissections and the preference for composite graft replacement in cystic medial degeneration to prevent late sinus of Valsalva aneurysms.
May inform aneurysm repair strategy in cystic medial degeneration; leaves open need for prospective trials before practice change.
The recent results of surgical treatment of ascending aortic aneurysms caused by dissection, arteriosclerosis, or cystic medial degeneration are reviewed. Important technical advances and the various techniques currently employed are examined. Recent improvements in the results of surgical treatment of acute dissections have resulted in a more aggressive surgical approach with early operative intervention. For patients with cystic medial degeneration treated by supracoronary graft replacement of the ascending aorta and aortic valve replacement, late development of aneuryms of the sinuses of Valsalva suggests that composite graft replacement to exclude the aortic sinuses may be the preferred method of treatment.
No takes yet. Share an insight, caveat, or question.
Nicholas T. Kouchoukos (1980) conducted a review in Ascending aortic aneurysms due to dissection, arteriosclerosis, or cystic medial degeneration. Surgical treatment (including composite graft replacement) was evaluated. A review of surgical treatments for ascending aortic aneurysms suggests that composite graft replacement may be preferred for patients with cystic medial degeneration to prevent late sinus aneurysms.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: