Aortic Root Aneurysm After Off-Pump Reduction Aortoplasty

Akgün, Serdar; Atalan, Nazan; Fazlioğulları, Osman; Kunt, Atike Tekeli; Başaran, Cem; Arsan, Sinan

doi:10.1016/j.athoracsur.2010.07.068

Cited by 18 publications

(30 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, no residual or recurrent aortic pathologies or need for a new correction was recorded in the 272 patients who were only treated with AA wrapping, whereas the combined incidence of these circumstances were 2% and 3% respectively in the 450 patients with concomitant reduction through resection aortoplasty or through plication of the aortic wall. Aortic re-dilatation was observed in areas which were not reinforced or which were insufficiently reinforced, particularly in the noncoronary sinus of Valsalva, and it has been associated with a bad placement or a migration of the prosthesis (34,35). For this reason, Cohen et al have highlighted the importance of reinforcing this area with a triangular expansion of the aortic wrap, which is anchored to the ventricular-aortic junction (18).…”

Section: Long-term Resultsmentioning

confidence: 99%

Wrapping of the ascending aorta revisited—is there any role left for conservative treatment of ascending aortic aneurysm?

González-Santos

Arnáiz-García

2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Dilatation of the ascending aorta (AA) is a common finding in patients with aortic valve disease.The clinical practice guidelines recommend replacing the AA whenever the diameter exceeds 45 mm.However, no consensus has been reached regarding the approach when the aorta is only moderately dilated.Although the risk in aorta replacement is generally low, it may be higher when associated with other complex surgical procedures or it is carried out in elderly patients or patients with significant comorbidity. This would justify the use of alternative surgical techniques, which reduce surgical risk and guarantee a durable correction of the aortic pathology. Conservative treatment of aneurysms of the AA via wrapping with different synthetic materials has been implemented for many years. The most commonly used technical variant is wrapping the dilated aorta with a vascular prosthesis with a predetermined diameter. When this technique is adequately applied, it immediately reduces the diameter of the AA and, to a lesser degree, the diameter of the aortic root and arch, while at the same time it reinforces the weak aortic wall. These effects lead to a drop-in wall shear stress and in the risk of aortic dissection and rupture, and persist over time. Although the low elasticity of the external support causes significant changes in the histologic structure of the aortic wall, mainly atrophy and alterations typical of a foreign body-induced reaction, this does not seem to involve a higher risk of complications. In some selected patients, this technique may be used in cases other than post-stenotic aortopathy, and also in aortas with a larger diameter.

show abstract

Section: Long-term Resultsmentioning

confidence: 99%

Wrapping of the ascending aorta revisited—is there any role left for conservative treatment of ascending aortic aneurysm?

González-Santos

Arnáiz-García

2017

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…33 Progressive root dilatation can cause distal migration of the wrap or erosion of the aortic intima during follow-up. 16 So we do not perform aortic wrapping in patients who have aortic root dilatation or AR.…”

Section: Study Limitationsmentioning

confidence: 99%

Aortic Wrapping for a Dilated Ascending Aorta in Bicuspid Aortic Stenosis

Choi

Jeong

Lee

et al. 2015

Circ J

View full text Add to dashboard Cite

“…However, there are no publications summarizing data from papers describing the results of the wrapping technique. The only skepticism about this surgical technique can be found in a few case reports presenting postoperative aortic wall degeneration in patients with redilatation of the aortic root after wrapping …”

mentioning

confidence: 99%