Aortic valve disease with ascending aortic aneurysm: Impact of concomitant root-sparing (supracoronary) aortic replacement in nonsyndromic patients.
Aortic valve disease with ascending aortic aneurysm: Impact of concomitant root-sparing (supracoronary) aortic replacement in nonsyndromic patients.
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主动脉瓣疾病伴升主动脉瘤：同时保留根部（冠状动脉上）主动脉置换术对非综合征患者的影响
DOI：
10.1016/j.jtcvs.2016.05.020
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Elefteriades JA
中科院分区：
文献类型：
--
作者：
Peterss S;Charilaou P;Dumfarth J;Bhandari R;Tranquilli M;Rizzo JA;Ziganshin BA;Elefteriades JA
ObjectiveThe purpose of the study was to assess the anticipated incremental risk of a concomitant aortic resection performed with an aortic valve replacement.MethodsPatients who underwent aortic valve replacement with root-sparing ascending replacement were compared with those who underwent isolated aortic valve replacement using propensity score matching (81 pairs; mean age, 63 ± 11 years [root-sparing ascending replacement] vs 64 ± 14 years). To evaluate the impact of the technique at distal site, 71 pairs of those undergoing root-sparing ascending replacement also were matched by propensity score according to distal anastomosis performed clamped and open under deep hypothermic circulatory arrest.ResultsOperative mortality was equal between the root-sparing ascending replacement and isolated aortic valve replacement groups. No significant difference was found regarding postoperative morbidities, such as bleeding, renal failure, stroke, and length of stay, except prolonged ventilation was found after root-sparing procedures (P= .028). Survival estimation showed no difference between the groups. Comparing the patients undergoing root-sparing ascending replacement with clamped and opened distal anastomosis revealed a prolonged ventilation requirement (7% vs 3%;P= not significant) in the open group. Operative mortality was 0% in both groups, and midterm survival was comparable.ConclusionsThe concomitant replacement of the aorta in root-sparing fashion is associated with an excellent operative outcome and adds no additional risk to aortic valve replacement in elective and non–high-risk patients. If the distal anastomosis is performed in an open fashion, while the operative mortality is still very low, morbidities are slightly higher, but midterm survival remains comparable.
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DOI：
10.1016/j.jtcvs.2010.10.001
发表时间：
2010-12-01
影响因子：
6
作者：
Elefteriades, John A.
通讯作者：
Elefteriades, John A.
近端主动脉置换不会增加主动脉瓣手术的进一步风险。
DOI：
10.1016/j.athoracsur.2007.04.059
发表时间：
2007
期刊：
The Annals of thoracic surgery
影响因子：
--
作者：
T. B. Reece;R. R. Singh;B. Stiles;B. Peeler;J. Kern;C. Tribble;I. Kron
通讯作者：
I. Kron
DOI：
10.1016/j.jtcvs.2014.03.027
发表时间：
2014-11-01
影响因子：
6
作者：
Rinewalt, Daniel;McCarthy, Patrick M.;Bonow, Robert O.
通讯作者：
Bonow, Robert O.
影响因子：
4.6
作者：
Davies, RR;Gallo, A;Elefteriades, JA
通讯作者：
Elefteriades, JA
主动脉的假体置换是主动脉根部动脉瘤发展的危险因素。
影响因子：
4.6
作者：
N. Simon;H. Schima;L. Huber;R. Moidl;G. Wipplinger;U. Losert;E. Wolner;P. Simon
通讯作者：
P. Simon