Selective management of high risk patients with an ascending aortic dilatation during aortic valve replacement

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dc.contributor.authorOguş N.T.
dc.contributor.authorÇiçek S.
dc.contributor.authorIşik Ö.
dc.date.accessioned2024-07-12T21:50:20Z
dc.date.available2024-07-12T21:50:20Z
dc.date.issued2002en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractBackground. The ascending aortic dilatation secondary to aortic valve disease may be a risk for rupture or dissection unless it is not corrected with a graft replacement during valve surgery. This additional procedure requires prolonged operation time that can be harmful for the critical patient. External reinforcement of diseased aorta is an old but simple method with debated long term results, providing brief duration and lower complication rate of the aneurysm operation for critically ill patients whose life expectancy is poor. Methods. Twenty-two patients underwent aortic valve replacement and external aortic wrapping procedure in our clinic. All of the patients had severe associated risk factors to complicate the classical aortic graft replacement procedure. In this prospective clinical study, the follow-up period of the patients is 79.91 patient-years. Results. There was no operative mortality. The average hospital stay was 8.6±2.6 days. There was no late death or cardiac morbidity. All of the patients were in NYHA Class 1 at postoperative 3rd month and thereafter. In CT scans the mean preoperative ascending aortic diameter was 5.12±0.38 cm while the mean diameter at 3rd month postoperatively was 3.19±0.25 cm. The reduction in diameter showed a significant difference (p<0.0001). The time related changes in luminal diameters showed some enlargement within the first year of the operation (p=0.03) that remained the same thereafter. Conclusions. The early results and 4 years follow-up suggest that the technique can be regarded as safe and effective in selected high risk patients.en_US
dc.identifier.endpage615en_US
dc.identifier.issn0021-9509
dc.identifier.issue5en_US
dc.identifier.pmid12386571en_US
dc.identifier.scopus2-s2.0-0036815027en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage609en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8151
dc.identifier.volume43en_US
dc.identifier.wosWOS:000179581300005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofJournal of Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01823
dc.subjectAortic aneurysm, thoracic, surgeryen_US
dc.subjectAortic valve, surgeryen_US
dc.subjectCardiac surgical proceduresen_US
dc.titleSelective management of high risk patients with an ascending aortic dilatation during aortic valve replacementen_US
dc.typeArticle
dspace.entity.typePublication

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