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Cardiovascular surgery
Aortic root wrapped procedure
  1. Li Wenbin1,
  2. Song Shiqiu1,
  3. Zhou Zifan1,
  4. Li Lu2,
  5. Guo Hanping3,
  6. Cao Quansheng4,
  7. Wang Sheng5,
  8. An Zhouyi4,
  9. Liu Anxin1,
  10. Zhang Jianqing5
  1. 1Division of Cardiac Surgery, Institute of Heart Lung and Blood Vessel Disease, Anzhen Hospital, Capital University of Medical Science, Beijing, China
  2. 2Division of Cardiac Surgery, 306 Hospital of Peoples Liberal Army, Beijing, China
  3. 3Division of Cardiac Surgery, Handan First Hospital, Hebei, China
  4. 4Division of Cardiac Surgery, First Hospital Affiliated to Henan Science and Technology University, Henan, China
  5. 5Division of Cardiac Surgery, Henan Peoples Hospital, Henan, China

Abstract

Objective To develop a relatively simple and effective and less risk operation, aortic root wrapped procedure, to treat with aortic root aneurysm or ectasia.

Methods From June 2008 to September 2010, 15 patients were accepted of aortic root wrapped angioplasty procedure, Marfan's syndrome with aortic root ectasia in 2 case, and aortic sinus aneurysm with middle – severe aortic valve stenosis and/or regurgitation in 13 cases. The diameter of aortic valve annulus: 25.43±2.34 (22–32) mm, the diameter of aortic sinus: 50.45±7.32 (45–60) mm. All patients undertook aortic root wrapped angioplasty procedures combined with aortic valve plasty or replacement with tissue valve prosthesis.

Results 15 patients were survival well, and the peri-operative mortality was 0%. CBP time was 82.31±16.34 (55–128) min. Predischarge UCG check result was showed: trace aortic regurgitation in 3 cases, and normal aortic valve function in 12 cases; Comparing with preoperative UCG results, aortic annulus diameter 22.63±1.25 (21–25) mm, decreased significantly (p<0.01), aortic sinus diameter 36.86±7.41 (30–41) mm, decreased significantly (p<0.001). Follow-up results: All 15 patients were survival well, and Heart function (NYHA) of the patients are all Class I. The late mortality was 0%.

Conclusion Aortic root wrapped procedures combined with aortic valve plastic or replacement operation is an alternative surgical procedure in patients with aortic sinus aneurysm and aortic valve disease.

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