Composite graft in annulo-aortic ectasiaNineteen years' experience without graft inclusion

Savunen, Timo; Inberg, M. V.; Niinikoski, J; Rantakokko, V.; Vänttinen, E

doi:10.1016/s1010-7940(96)80110-2

Cited by 23 publications

(17 citation statements)

References 10 publications

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“…4,10,15,16 In most published series the longerterm survival figures for AVR are Ϸ80% to 85% at 5 years, 65% to 75% at 10 years, 45% to 55% at 15 years and for CVG 70% to 80% at 5 years, 60% to 70% at 10 years and 50% to 65% at 15 years, respectively. 4,6,10,15,17,18 The survivals reported in this national cohort study are similar. In common with single center reports, we found a high rate of freedom from reoperation for both AVR and CVG at 10 years with a similar time to reoperation.…”

Section: Kalkat Et Al Composite Aortic Valve Graft Replacement Outcomsupporting

confidence: 65%

Composite Aortic Valve Graft Replacement

Kalkat

Edwards²,

Taylor³

et al. 2007

Circulation

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Section: Kalkat Et Al Composite Aortic Valve Graft Replacement Outcomsupporting

confidence: 65%

Composite Aortic Valve Graft Replacement

Kalkat

Edwards²,

Taylor³

et al. 2007

Circulation

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“…The majority of the composite valve conduit procedures in our series incorporated the modifications of the Bentall procedure. These were (1) using an open technique instead of the inclusion wrap technique and (2) using the Carrel button technique to reattach the coronary ostia, as introduced by Kouchoukos et al 8 Savunen et al 15 reported a 3% early mortality in 100 patients undergoing a modified Bentall procedure with no anastomotic problems in the follow-up period. Ergin et al 16 reported a significantly reduced reoperative rate and better survival in patients un- 18 observed only 7 reoperations in 181 patients related to the original composite graft.…”

Section: Discussionmentioning

confidence: 99%

Surgery for Aneurysms of the Aortic Root

et al. 2004

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Background-This study evaluated long-term results of aortic root replacement and valve-preserving aortic root reconstruction for patients with aneurysms involving the aortic root. Methods and Results-Two-hundred three patients aged 53Ϯ16 years (meanϮSD; 153 male, 50 female) underwent elective or urgent aortic root surgery from 1971 to 2000 for an aortic root aneurysm: 149 patients underwent a composite valve conduit reconstruction, and 54 patients underwent valve-preserving aortic root reconstruction. Fifty patients had Marfan syndrome. In-hospital and 30-day mortality was 4.0% (8/203) overall: for a composite valve conduit procedure, the corresponding value was 4.0% (6/149) and for valve-preserving procedure, 3.7% (2/54) (PϭNS). Morbidity included 3 strokes (1%), 10 perioperative myocardial infarctions (5%), and 8 reoperations for bleeding (4%). Actuarial survival at 5, 10, 15, and 20 years was 93% (95% confidence interval [CI] ϭ 88% to 97%), 79% (95% CI ϭ 71% to 87%), 67% (95% CI ϭ 57% to 79%), and 52% (95% CI ϭ 36% to 69%), respectively. Freedom from reoperation was 72% (95% CI ϭ 54% to 86%) at 20 years. Complications with anticoagulation occurred in 29 patients; with valve thrombosis, in 2; and with hemorrhage, in 27 (4 life threatening and 23 minor). Freedom from thromboembolism was 91% (95% CI ϭ 77% to 98%) at 20 years. Freedom from endocarditis was 99% (95% CI ϭ 92% to 100%) at 20 years. Multivariate analysis revealed preoperative mitral valve regurgitation (ϩ3 to 4) and older age to be significant predictors of late death (PՅ0.005), and Marfan syndrome, initial valve-preserving aortic root reconstruction, and need for a concomitant procedure at initial operation to be significant predictors of the need for reoperation (PՅ0.01). Conclusions-Aortic root replacement for aortic root aneurysms can be done with low morbidity and mortality. Composite valve conduit reconstruction resulted in a durable result. There were few serious complications related to the need for long-term anticoagulation or a prosthetic valve. Reoperation was most commonly required because of failure of the aortic valve when a valve-preserving aortic root reconstruction was performed or for other cardiac or aortic disease elsewhere.

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“…Aortic root replacement procedures, which include the modifications of the original Bentall operation, the Carrel button technique to reattach the coronary ostia, and the open technique, are referred to as the button Bentall procedure. Only a few papers regarding the button Bentall procedure include mean follow‐up duration of more than five years . We evaluated the long‐term clinical outcomes and sought to determine the risk factors of long‐term mortality and morbidity for the button Bentall procedure in 195 patients.…”

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confidence: 99%