Analysis of valve-sparing aortic root replacement with Valsalva graft
Online published: 2011-03-29
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.
CHEN Xiao-zhong, ZHOU Rui, REN Shu-nan, et al . Analysis of valve-sparing aortic root replacement with Valsalva graft[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2011 , 31(3) : 346 . DOI: 10.3969/j.issn.1674-8115.2011.03.023
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