Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection
Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limit...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Mohammed Abd Al Jawad [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: The Cardiothoracic Surgeon - SpringerOpen, 2019, 28(2020), 1, Seite 7 |
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| Übergeordnetes Werk: |
volume:28 ; year:2020 ; number:1 ; pages:7 |
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| DOI / URN: |
10.1186/s43057-020-00021-4 |
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DOAJ03624726X |
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| 520 | |a Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. | ||
| 650 | 4 | |a Aortic dissection | |
| 650 | 4 | |a Aortic root | |
| 650 | 4 | |a Stanford type A | |
| 650 | 4 | |a Root reconstruction | |
| 650 | 4 | |a Valve sparing | |
| 653 | 0 | |a Surgery | |
| 653 | 0 | |a Diseases of the circulatory (Cardiovascular) system | |
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10.1186/s43057-020-00021-4 doi (DE-627)DOAJ03624726X (DE-599)DOAJ8c14087bb9b34a818981fcb3bd1efcdb DE-627 ger DE-627 rakwb eng RD1-811 RC666-701 Mohammed Abd Al Jawad verfasserin aut Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. Aortic dissection Aortic root Stanford type A Root reconstruction Valve sparing Surgery Diseases of the circulatory (Cardiovascular) system In The Cardiothoracic Surgeon SpringerOpen, 2019 28(2020), 1, Seite 7 (DE-627)1688112510 26622203 nnns volume:28 year:2020 number:1 pages:7 https://doi.org/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb kostenfrei http://link.springer.com/article/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/toc/2662-2203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 28 2020 1 7 |
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10.1186/s43057-020-00021-4 doi (DE-627)DOAJ03624726X (DE-599)DOAJ8c14087bb9b34a818981fcb3bd1efcdb DE-627 ger DE-627 rakwb eng RD1-811 RC666-701 Mohammed Abd Al Jawad verfasserin aut Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. Aortic dissection Aortic root Stanford type A Root reconstruction Valve sparing Surgery Diseases of the circulatory (Cardiovascular) system In The Cardiothoracic Surgeon SpringerOpen, 2019 28(2020), 1, Seite 7 (DE-627)1688112510 26622203 nnns volume:28 year:2020 number:1 pages:7 https://doi.org/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb kostenfrei http://link.springer.com/article/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/toc/2662-2203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 28 2020 1 7 |
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10.1186/s43057-020-00021-4 doi (DE-627)DOAJ03624726X (DE-599)DOAJ8c14087bb9b34a818981fcb3bd1efcdb DE-627 ger DE-627 rakwb eng RD1-811 RC666-701 Mohammed Abd Al Jawad verfasserin aut Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. Aortic dissection Aortic root Stanford type A Root reconstruction Valve sparing Surgery Diseases of the circulatory (Cardiovascular) system In The Cardiothoracic Surgeon SpringerOpen, 2019 28(2020), 1, Seite 7 (DE-627)1688112510 26622203 nnns volume:28 year:2020 number:1 pages:7 https://doi.org/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb kostenfrei http://link.springer.com/article/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/toc/2662-2203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 28 2020 1 7 |
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10.1186/s43057-020-00021-4 doi (DE-627)DOAJ03624726X (DE-599)DOAJ8c14087bb9b34a818981fcb3bd1efcdb DE-627 ger DE-627 rakwb eng RD1-811 RC666-701 Mohammed Abd Al Jawad verfasserin aut Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. Aortic dissection Aortic root Stanford type A Root reconstruction Valve sparing Surgery Diseases of the circulatory (Cardiovascular) system In The Cardiothoracic Surgeon SpringerOpen, 2019 28(2020), 1, Seite 7 (DE-627)1688112510 26622203 nnns volume:28 year:2020 number:1 pages:7 https://doi.org/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb kostenfrei http://link.springer.com/article/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/toc/2662-2203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 28 2020 1 7 |
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10.1186/s43057-020-00021-4 doi (DE-627)DOAJ03624726X (DE-599)DOAJ8c14087bb9b34a818981fcb3bd1efcdb DE-627 ger DE-627 rakwb eng RD1-811 RC666-701 Mohammed Abd Al Jawad verfasserin aut Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. Aortic dissection Aortic root Stanford type A Root reconstruction Valve sparing Surgery Diseases of the circulatory (Cardiovascular) system In The Cardiothoracic Surgeon SpringerOpen, 2019 28(2020), 1, Seite 7 (DE-627)1688112510 26622203 nnns volume:28 year:2020 number:1 pages:7 https://doi.org/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb kostenfrei http://link.springer.com/article/10.1186/s43057-020-00021-4 kostenfrei https://doaj.org/toc/2662-2203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 28 2020 1 7 |
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Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection |
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Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. |
| abstractGer |
Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. |
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Abstract Background Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more experienced centers. We aim to present our experience with a modified limited root approach in terms of the operative details and early results. Results This retrospective study included 27 patients who presented with Stanford A aortic dissection and underwent modified selective root replacement. All patients were followed up using transthoracic echocardiography at 6 months postoperatively and at yearly intervals thereafter. Computed tomography (CT) angiography was performed 12 months after the initial surgery. A total of 92.6% of patients required concomitant aortic valve repair. There was no operative mortality related to the operation itself; however, four patients died during the follow-up period. One patient developed new severe aortic regurgitation in the 6th month of follow-up. One patient developed a pseudoaneurysm related to the suture line that was diagnosed by CT angiography in the 16th month of follow-up. Conclusions The early results of modified selective root reconstruction with aortic valve repair are promising. This procedure is a quick, reliable, easily reproducible, and technically undemanding valve-sparing treatment for acute aortic root dissection. |
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Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection |
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https://doi.org/10.1186/s43057-020-00021-4 https://doaj.org/article/8c14087bb9b34a818981fcb3bd1efcdb http://link.springer.com/article/10.1186/s43057-020-00021-4 https://doaj.org/toc/2662-2203 |
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10.1186/s43057-020-00021-4 |
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2024-07-03T19:30:55.567Z |
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