›› 2011, Vol. 31 ›› Issue (3): 346-.doi: 10.3969/j.issn.1674-8115.2011.03.023

• Original article (Clinical research) • Previous Articles     Next Articles

Analysis of valve-sparing aortic root replacement with Valsalva graft

CHEN Xiao-zhong1, ZHOU Rui1, REN Shu-nan1, LI Feng1, WU Wei-hua2   

  1. 1.Department of Cardiovascular Surgery, 2.Department of Ultrasound, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2011-03-28 Published:2011-03-29

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Abstract:

Objective To investigate the outcomes of valve-sparing aortic root replacement with Valsalva graft in treatment of aortic root aneurysm. Methods The clinical data of eight patients with aortic root aneurysm undergoing valve-sparing aortic root replacement with Valsalva graft were retrospectively analysed.Results There was no death during the hospital stay. The mean time of cardiopulmonary bypass was (266.4±60.1) min (158 to 357 min), and the mean time of aortic cross clamping was (200.6±47.9) min (136 to 286 min). Deep hypothermic circulatory arrest was performed in 1 patient. The major complications included bleeding in 4 patients and mediastinitis in 1 patient. Patients were followed up for (22.3±12.6) months (2 to 38 months). There was no death during the follow-up. At the end of the follow-up, there was no or trivial aortic incompetence in 7 patients, 1 patient had moderate aortic regurgitation postoperatively and a second aortic valve replacemnt was performed. Conclusion Valve-sparing aortic root replacement with Valsalva graft may yield favourable early and mid-term outcomes in treatment of aortic root aneurysm.

Key words: aortic root aneurysm, valve-sparing aortic root replacement, Valsalva graft