HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Egloff, L. Articles by Turina, M. Search for Related Content PubMed PubMed Citation Articles by Egloff, L. Articles by Turina, M.

Ann Thorac Surg 1982;34:117-124
© 1982 The Society of Thoracic Surgeons

---

Articles

The Ascending Aortic Aneurysm: Replacement or Repair?

From the University Hospital, Surgical Clinic A, Zurich, Switzerland

^* Address reprint requests to Dr. Egloff, University Hospital, Surgical Clinic A, Zurich, Switzerland

Between 1971 and 1980, 100 patients underwent operation for ascending aortic aneurysm. Acute dissection was present in 29, chronic dissection in 11; 56 had dilatation only, and 4 had inflammatory disease of the ascending aorta. Four different operative procedures were applied independent of the type of disease: repair and reduction aortoplasty (21), reduction aortoplasty reinforced by nylon net (17), supracoronary graft replacement (42), and composite graft replacement with reimplantation of both coronary ostia (20). Early mortality was 10%, and late mortality was 12% after a mean follow-up of 45 months.

Retrospective comparative analysis of the four operative methods led to the following conclusion: reduction aortoplasty supported by a tightly wrapped synthetic net is a suitable method in patients with a normal sinus of Valsalva and without dissection or inflammatory disease. Particular attention needs to be drawn to the proximal anchor stitches to avoid late net displacement. Compared with supracoronary or composite graft replacement, this method carried a lower complication rate, particularly in regard to cerebrovascular accidents and myocardial infarction. For patients with acute and chronic dissection with intact aortic root, supracoronary graft replacement is preferred, whereas in those with annuloaortic ectasia with dilated sinus of Valsalva and in all patients with Marfan's syndrome, composite graft replacement has become the procedure of choice.

This article has been cited by other articles:

				H. Zhang, F. Lu, D. Qu, L. Han, J. Xu, G. Ji, and Z. Xu Treatment of fusiform ascending aortic aneurysms: A comparative study with 2 options J. Thorac. Cardiovasc. Surg., March 1, 2011; 141(3): 738 - 743. [Abstract] [Full Text] [PDF]

				F. Robicsek, J. W. Cook, M. K. Reames Sr, and E. R. Skipper Size reduction ascending aortoplasty: Is it dead or alive? J. Thorac. Cardiovasc. Surg., October 1, 2004; 128(4): 562 - 570. [Abstract] [Full Text] [PDF]

				S. Arsan, S. Akgun, N. Kurtoglu, T. Yildirim, and B. Tekinsoy Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations Ann. Thorac. Surg., September 1, 2004; 78(3): 858 - 861. [Abstract] [Full Text] [PDF]

				S. Arsan Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting Ann. Thorac. Surg., July 1, 2004; 78(1): 316 - 319. [Abstract] [Full Text] [PDF]

				L. Sternik, K. J. Zehr, and H. V. Schaff A method of repair for asymmetric aneurysmal dilatation of the ascending aorta Ann. Thorac. Surg., April 1, 2002; 73(4): 1332 - 1334. [Abstract] [Full Text] [PDF]

				M. Bauer, M. Pasic, R. Schaffarzyk, H. Siniawski, F. Knollmann, R. Meyer, and R. Hetzer Reduction aortoplasty for dilatation of the ascending aorta in patients with bicuspid aortic valve Ann. Thorac. Surg., March 1, 2002; 73(3): 720 - 723. [Abstract] [Full Text] [PDF]

				R. P. Siebenmann Implantation of the Toronto SPV Stentless Porcine Bioprosthesis in Dilated Ascending Aorta Ann. Thorac. Surg., October 1, 1997; 64(4): 1197 - 1200. [Abstract] [Full Text]

				X. M. Mueller, H. T. Tevaearai, C. Y. Genton, M. Hurni, P. Ruchat, A. P. Fischer, F. Stumpe, and L. K. von Segesser Drawback of Aortoplasty for Aneurysm of the Ascending Aorta Associated With Aortic Valve Disease Ann. Thorac. Surg., March 1, 1997; 63(3): 762 - 766. [Abstract] [Full Text]

				N. L. Mills, D. A. Morgenstern, V. A. Gaudiani, and F. Ordoyne ``Legs'' Technique for Management of Widely Separated Coronary Arteries During Ascending Aortic Repair Ann. Thorac. Surg., March 1, 1996; 61(3): 869 - 873. [Abstract] [Full Text]

				M. G. Barnett, A. C. Fiore, K. J. Vaca, T. W. Milligan, and H. B. Barner Tailoring aortoplasty for repair of fusiform ascending aortic aneurysms Ann. Thorac. Surg., February 1, 1995; 59(2): 497 - 501. [Abstract] [PDF]

				T. Tanabe, M. Hashimoto, K. Sakai, K. Yasuda, T. Takeoka, O. Matsunami, M. Sakuma, and T. Gohda Surgical Treatment of Aortic Dissection: Application of Ivalon Sponge to the Dissected Lumen Ann. Thorac. Surg., February 1, 1986; 41(2): 169 - 175. [Abstract] [PDF]