Late reoperation for proximal aortic and arch complications after previous composite graft replacement in marfan patients

Kazui, Teruhisa; Yamashita, Katsushi; Terada, Hitoshi; Washiyama, Naoki; Suzuki, Takahiro; Ohkura, Kazuhiro; Suzuki, Kazunao

doi:10.1016/s0003-4975(03)00719-7

Cited by 41 publications

(28 citation statements)

References 17 publications

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“…Main problems were aneurysm at the site of coronary artery reimplantation and suture line aneurysms following repair of aortic dissection using the inclusion technique. They concluded that the open coronary artery button technique was the most appropriate way to reattach the coronary arteries to avoid late complications [8]. Similarly to our findings, acute type A aortic dissection was a frequent initial event in patients requiring reoperation.…”

Section: Discussionsupporting

confidence: 87%

Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery☆

Carrel

Beyeler

Schnyder

et al. 2004

European Journal of Cardio-Thoracic Surgery

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The incidence of reoperations is significantly higher in patients who presented initially with acute type A aortic dissection than in those with dilatation only. In addition, this survey demonstrates that unexpected fatal outcome may appear in the remaining native aorta following uncomplicated elective aortic root surgery, even if the aorta is normal-sized. A close follow-up of all Marfan patients is necessary to detect asymptomatic changes requiring surgery because complex elective redo-operations can be performed with a very low perioperative risk.

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Section: Discussionsupporting

confidence: 87%

Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery☆

Carrel

Beyeler

Schnyder

et al. 2004

European Journal of Cardio-Thoracic Surgery

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“…1). While there is abundant literature regarding proximal aortic procedures in MFS, there are little data on the progression and management of distal aortic complications [4,5,[8][9][10]. In this study, we report a consecutive series of MFS patients with distal dissection.…”

Section: Introductionmentioning

confidence: 99%

Presentation and outcome of Marfan's syndrome patients with dissection and thoraco-abdominal aortic aneurysm

Kalkat

Rahman

Kotidis

et al. 2007

European Journal of Cardio-Thoracic Surgery

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Background: In Marfan's syndrome, there is a paucity of data regarding intervention criteria for surgery of the dissected thoraco-abdominal aorta. Methods: A retrospective analysis of 22 Marfan's patients with distal aortic dissection managed between September 1999 and April 2006 was performed. Serial diameters and linear expansion rates were calculated from imaging studies and the outcome of intervention was analysed.Results: There were 14/22 male patients (median age 38 years), and 18 had prior aortic surgery. Surgery was recommended in 20 patients and undertaken in 19 (1 died prior to operation). Of the operated patients, 2 presented with rupture, 2 with airway obstruction, 1 with intermittent paraplegia and 14 underwent planned surgery for increased expansion rate or pain. All patients had residual type A or chronic type B dissection. The median aortic dimension at surgery was 6.7 cm (interquartile range (IQR) 5.5-8.2). The preoperative mean expansion rate increased from 0.5 cm/year to 1.7 cm/year ( p < 0.001), prior to operation. Fifteen patients underwent Crawford Extent II, two underwent Extent I and two underwent Extent III repair. Profound hypothermia and CSF drainage was used in 16 and 18 patients, respectively. There was no early mortality, paraplegia or renal failure. At a median postoperative follow-up of 56 months (range 6-86), the survival of the operated cohort was 90%. Conclusions: Thoraco-abdominal aortic aneurysm repair in Marfan's syndrome can be performed with good outcomes. Intervention should be based on size or accelerated expansion. Any role of endovascular management needs careful consideration. #

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“…Pseudo‐aneurysms may result from anastomotic dehiscence, which refills the false lumen 1‐3 . A giant‐pseudo‐aneurysm compressing the left anterior descending artery causing myocardial ischemia has been previously reported 4 …”

Section: Discussionmentioning

confidence: 99%

Right Coronary Ostial Aneurysm Following a Bentall Procedure

Lusini

Pollari

Chello

et al. 2011

Journal of Cardiac Surgery

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Late reoperation for proximal aortic and arch complications after previous composite graft replacement in marfan patients

Cited by 41 publications

References 17 publications

Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery☆

Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery☆

Presentation and outcome of Marfan's syndrome patients with dissection and thoraco-abdominal aortic aneurysm

Right Coronary Ostial Aneurysm Following a Bentall Procedure

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