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Ann Thorac Surg 1978;25:425-430
© 1978 The Society of Thoracic Surgeons

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Articles

Surgical Treatment of Annuloaortic Ectasia: Experience in 7 Consecutive Patients

Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan

Accepted for publication August 29, 1977.

^* Address reprint requests to Dr. Koizumi, Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Seiryocho 1-1, Sendai, Japan 980

Seven patients with annuloaortic ectasia were treated according to the method described by Bentall and De Bono. A Björk-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.

There 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 valves. A modified technique to secure graft fixation is discussed.

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