Replacement of the ascending aorta

Conservative treatment of the aortic root in acute type a dissection1

“…A low risk of late reinterventions on the proximal aorta could especially be emphasized. In contrast Lytle et al [19] documented significantly inferior late survival following composite graft insertion compared with the replacement of the ascending aorta alone or in combination with separate aortic valve replacement. Except for Marfan or annuloaortic ectasia he recommends avoidance of composite graft implantation in acute dissection.…”

Protocol for creation of a risk scoring system for acute type A aortic dissection surgery

“…Because of the particularity, complexity and high perioperative mortality of cardiac surgery, many models for post-operative complications and mortality risk prediction have been designed. For example, the first surgical risk prediction method used in cardiovascular surgery field, the Parsonnet's score in 1989 [14], due to the existence of related items influenced by subjective judgment of physician, the performance of prediction model is not enough. Similarly, the European System for Cardiac Operative Risk Evaluation (EuroSCORE) [5], EuroSCORE II updated in 2012 [6], Ontario Province Risk (OPR) established in 1991, the Society of Thoracic Surgeons score (STS score) [7], and Cleveland model established in 1992 are also widely used scoring systems to predict early and in-hospital mortality in a variety of cardiac surgery, including aortic dissection.…”

“…Therefore, a scoring system suitable for patients in developing countries is needed to predict their risk of early death and to guide their choice of further treatment strategies. There have been some risk prediction models for aortic related surgery based on limited sample [10], [11], [12], [13], [14]. However, due to inappropriate selection of variables included in the model: most of the models included only medical history and clinical symptoms while not many blood test variables or imaging characteristics was included, their predictive performance is doubtful.…”

Wrapping of an Ascending Aortic Aneurysm with the Multiple Boot-Straps Technique in a Patient Undergoing Off-Pump Coronary Artery Bypass Grafting

“…There are several treatment options for ascending aortic aneurysms, and replacement of the ascending aorta with a prosthetic vascular graft is the most common surgical procedure currently performed. This procedure offers good perioperative results, due to remarkable advancements in both CPB and surgical technique; however, the hospital mortality and morbidity rates still remain high, ranging up to 10% [ 5 , 6 ]. For these reasons, many cardiac surgeons have sought to use simple and safe surgical techniques when treating ascending aortic aneurysms along with concomitant cardiac procedures, especially in patients with multiple comorbidities in whom prolonged CPB and aortic cross-clamping time cannot be tolerated [ 1 – 3 ].…”