Does Aortic Root Enlargement Impair the Outcome of Patients With Small Aortic Root?

Ardal, Hasan; Toker, Mehmet Erdem; Rabuş, Murat Bülent; Uyar, İbrahim; Dönmez, Arzu Antal; Şişmanoğlu, Mesut; Mansuroğlu, Denyan; Kırali, Kaan; Yakut, Cevat

doi:10.1111/j.1540-8191.2006.00274.x

Cited by 6 publications

(7 citation statements)

References 19 publications

(38 reference statements)

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“…They found cardiopulmonary bypass to be the only independent predictor of mortality. In a study by Ardal and colleagues, 6 124 Turkish patients who underwent aortic root enlargement were followed up for a mean of 8.1 AE 4.1 years, and showed a similar mortality rate to that in our series (6.4%); as in our report, the most common cause of early mortality was low cardiac output syndrome (75% of deaths). On univariate analysis, they found inotropic requirement, aortic stenosis, double-valve replacement, and concomitant coronary artery bypass surgery to be risk factors for early (< 30 days) mortality.…”

Section: Discussionsupporting

confidence: 86%

Long-term results of aortic valve replacement with posterior root enlargement

Ghavidel

Omrani

Chitsazan

et al. 2014

Asian Cardiovasc Thorac Ann

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Section: Discussionsupporting

confidence: 86%

Long-term results of aortic valve replacement with posterior root enlargement

Ghavidel

Omrani

Chitsazan

et al. 2014

Asian Cardiovasc Thorac Ann

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“…One of the most used aortoplasty surgeries is the Manouguian procedure [4]. Using pericardial patch in this procedure has become more common which has been associated with more late complications, such as patch aneurysm, aortic dissection, paraaortic leakage, MV insufficiency [4], and endocarditis [3], [4].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, using pericardium became more common because of availability, pliability, resistance to infection, and nonimmunogenicity [2]. Cardiac surgeons utilized it to repair different cardiac defects with satisfactory results, but long-term complications and outcomes remain unclear [3] as its implantation has been reported to be challenging for aortic repair [4]. There have been few reports regarding aneurysm development in pericardial patch [2], [4]; however, the proper management and prevention of such a complication is evolving.…”

Section: Introductionmentioning

confidence: 99%

Aneurysm formation of pericardial patch in Manouguian procedure

Pouraliakbar

Pourmojib

Rezaei

et al. 2018

Journal of the Saudi Heart Association

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Pericardial patch has been used to repair cardiac defects; however, its strength as an aortoplasty patch to tolerate systemic pressure is a matter of debate. We report an aneurysmal dilatation of pericardial patch in aortoplasty. Our patient was a 56-year-old female known case of rheumatic heart disease that underwent redoes mitral and aortic valve replacements along with Manouguian aortoplasty at the age of 44 years old. After 2 months, she was readmitted with a diagnosis of endocarditis. Echocardiography revealed a small cavity in the posterior wall of the aorta. She responded to medical therapy and discharged in a good condition. Twelve years later, she was scheduled to undergo reoperation due to a severe paraprosthetic aortic valve leakage and a pericardial patch aneurysm. The leaking prosthetic aortic valve was explanted and the aneurysmal tissue was replaced with a polyethylene terephthalate patch.

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“…In these cases, a stentless bioprosthesis would provide the best postoperative hemodynamic results [10]. Alternatively, surgical annulus remodeling can be performed to enlarge the orifice area [11].…”

Section: Aortic Annulus and Rootmentioning

confidence: 99%

What the cardiac surgeon needs to know prior to aortic valve surgery: impact of echocardiography

Germing

Mügge

2009

European Journal of Cardio-Thoracic Surgery

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Echocardiographic assessment prior to valve surgery is crucial for clinical decision making, timing of surgery, planning the adequate surgical therapy and predicting the patient's outcome. Description of transvalvular velocities is not enough for sending a patient to the operating room. There are specific functional and morphological characteristics of each valve dysfunction that have to be addressed by the echocardiographer prior to surgery. Evaluation of the aortic valve, annulus, root, ascending aorta, left ventricular outflow tract and left ventricular function are important. In knowing these characteristics the surgeon may choose the appropriate valve and operation techniques and assess the need for additional surgical procedures. A detailed evaluation of valve morphology and function in context with cardiac hemodynamics should be achieved during echocardiography. This step-by-step evaluation allows the correct diagnosis and classification of patient's outcome. In conclusion, an echohemodynamic approach enables the cardiac surgeon to plan and perform the adequate surgical procedure.

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Does Aortic Root Enlargement Impair the Outcome of Patients With Small Aortic Root?

Abstract: Posterior aortic root enlargement techniques can be easily applied without additional risks. Long-term survival and freedoms from valve-related complications are satisfactory.

Cited by 6 publications

References 19 publications

Long-term results of aortic valve replacement with posterior root enlargement

Long-term results of aortic valve replacement with posterior root enlargement

Aneurysm formation of pericardial patch in Manouguian procedure

What the cardiac surgeon needs to know prior to aortic valve surgery: impact of echocardiography

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