SOSTITUZIONE DELL'AORTA ASCENDENTE CON PROTESI TUBULARE VALVOLATA E REIMPIANTO DELLE CORONARIE: RISULTATI IN 59 CASI OPERATI

Translated title of the contribution: Replacement of the ascending aorta with a valvular prosthesis and reimplantation of the coronary artery: Results in 59 cases

C. Taglieri, V. Colucci, L. Passini, A. Moreo, G. Pome, A. Pellegrini

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

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 contributionReplacement of the ascending aorta with a valvular prosthesis and reimplantation of the coronary artery: Results in 59 cases
Original languageItalian
Title of host publicationCuore
Pages481-492
Number of pages12
Volume8
Edition5
Publication statusPublished - 1991

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Taglieri, C., Colucci, V., Passini, L., Moreo, A., Pome, G., & Pellegrini, A. (1991). SOSTITUZIONE DELL'AORTA ASCENDENTE CON PROTESI TUBULARE VALVOLATA E REIMPIANTO DELLE CORONARIE: RISULTATI IN 59 CASI OPERATI. In Cuore (5 ed., Vol. 8, pp. 481-492)