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The Annals of Thoracic Surgery, Vol 25, 425-430, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

Surgical treatment of annuloaortic estasia: experience in 7 consecutive patients

S Koizumi, H Mohri, Y Kagawa, K Saji, K Haneda, O Kahata, T Itoh, A Yokoyama, M Ohmi and T Horiuchi

Seven patients with annuloaortic ectasia were treated according to the method described by Bentall and De Bono. A Bjork-Shiley valve in a composite graft was the prosthesis of choice and was used in all patients except 1, who received a Starr-Edwards valve. Profound topical cooling without selective coronary perfusion was applied in 5 patients for myocardial preservation during aortic occlusion. The was 1 operative death and 1 late death, the latter from cerebral thromboembolism. Five survivors have been followed from 1 year 5 months to 2 years 10 months with an average follow-up of 2 years. Excellent results were obtained in all survivors, their physical capabilities putting them in Class I of the New York Heart Association Functional Classification. Postoperative aortograms showed no signs of kinking or compression of vascular prostheses nor abnormalities of prosthetic calves. A modified technique to secure graft fixation is discussed.


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C.G. Montero, A. Juffe, G. Tellez, R. Burgos, and D. Figuera
Surgical Management of Aortic Root . Aneurysm Associated With Aortic Insufficiency
Vascular and Endovascular Surgery, March 1, 1980; 14(2): 112 - 122.
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