Between May 1981 and July 1990, 59 patients underwent replacement of the ascending aorta and aortic valve with a composite graft. Annuloaortic ectasia was the most common indication for operation (27 patients), followed by aortic dissection (19 patients), recurrent periprosthesic leak (6 patients), aneurysm of the ascending aorta with aortic insufficiency (5 patients) and ascending aortic aneurysm in patients with aortic valve prosthesis (2 patients). Twelve patients (20,3%) had the Marfan syndrome. Twenty-eight patients were in II class, 17 in III and 14 in IV class NYHA. Hospital mortality was 11,8%. Reoperation for post-operative hemorrhage was required in 6 patients (10,1%). Complete definitive atrio-ventricular block occurred in 4 patients (6,7%). Emergent operation was the only independent predictor of operative death (p = 0,0059). The mean duration of follow-up was 29.4 months. Two patients (3.8%) were last at follow up. Two late deaths occurred. Forty seven patients (97.9%) were in I or II class NYHA and one in III class. No late recurrence necessitating operation was found at follow up. The satisfactory results in our patients support the continued use of composite graft technique as the preferred method of treatment for patients with annulo-aortic ectasia, ascending aortic aneurysm with aortic insufficiency and recurrent aortic prosthesis regurgitation necessitating reoperation.
|Translated title of the contribution||Replacement of the ascending aorta with a valvular prosthesis and reimplantation of the coronary artery: Results in 59 cases|
|Title of host publication||Cuore|
|Number of pages||12|
|Publication status||Published - 1991|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine