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Stuart Houser
Lawrence Zaroff
Robert Weiner
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Ann Thorac Surg 1980;30:70-75
© 1980 The Society of Thoracic Surgeons

Articles

Management of Fusiform Ascending Aortic Aneurysms

Stuart Houser, M.D., Jose Mijangos, M.D., Amarenda Sengupta, M.D., Lawrence Zaroff, M.D., Robert Weiner, M.D., James A. DeWeese, M.D.*

From the University of Rochester Medical Center, Division of Cardiothoracic Surgery, Rochester, NY

Accepted for publication January 30, 1980.

* Address reprint requests to Dr. DeWeese, Division of Cardiothoracic Surgery, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642

Thirteen patients had elective surgical treatment of fusiform ascending aortic aneurysms at Strong Memorial and Rochester General Hospitals from 1970 to 1978. There were 8 men and 5 women ranging in age from 51 to 78 years (mean, 61 years). Nine patients underwent composite tube graft and aortic valve replacement, 3 had aortic valve replacement plus supracoronary tube grafts, and 1 had aortic valve replacement plus aneurysmorrhaphy. Coronary reimplantation alone or combined with saphenous vein bypasses was fashioned in 10 patients. Potassium cardioplegia was considered a useful adjunct in 6 patients. Two early deaths accounted for an operative mortality of 15.4%. There were 3 late deaths. Eight patients are alive and well 2 to 109 months after operation.






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Copyright © 1980 by The Society of Thoracic Surgeons.