ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Rainer G. Leyh
Claudia Schmidtke
Claus Bartels
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Leyh, R. G.
Right arrow Articles by Sievers, H.-H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Leyh, R. G.
Right arrow Articles by Sievers, H.-H.

Ann Thorac Surg 2000;70:21-24
© 2000 The Society of Thoracic Surgeons

Original articles: Cardiovascular

Valve-sparing aortic root replacement (remodeling/reimplantation) in acute type A dissection

Rainer G. Leyh, MDa, Claudia Schmidtke, MDa, Claus Bartels, MD, PhDa, Hans-Hinrich Sievers, MD, PhDa

a Department of Cardiac Surgery, University of Lübeck, Lübeck, Germany

Address reprint requests to Dr Leyh, Department of Cardiothoracic and Vascular Surgery, Medizinische Hochschule zu Hannover, Carl Neuberg Str 1, 30625 Hannover, Germany

Background. High reoperation rates after supracommissural tube graft replacement for acute type A dissection due to sinus of Valsalva dilation have been reported. Valve-sparing operations focusing on the replacement of the sinus of Valsalva are an appealing alternative. The applicability of these techniques in acute type A dissection remains debatable and results are limited.

Methods. From 1992 to 1998, 20 patients with acute type A dissection received a valve-sparing aortic root replacement. Two different types of aortic valve-sparing operations were performed: the remodeling technique in 11 patients and the reimplantation technique in 9 patients. Patients were followed for 26 ± 18 months. Echocardiographic studies were performed every 6 months.

Results. There were 2 early postoperative deaths and no late death, no reoperation, and no thromboembolic events. The latest echocardiographic studies of the 18 survivors showed a competent valve in 12 and a trivial aortic valve insufficiency in 6 patients. The mean aortic valve pressure gradient was 4.3 ± 1.3 mm Hg.

Conclusions. These midterm results support the surgical strategy of valve-sparing aortic root replacement in patients with acute type A dissection.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
D. C. Miller
Valve-Sparing Aortic Root Replacement: Current State of the Art and Where Are We Headed?
Ann. Thorac. Surg., February 1, 2007; 83(2): S736 - S739.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. W. Erasmi, H.-H. Sievers, J.F. M. Bechtel, T. Hanke, U. Stierle, and M. Misfeld
Remodeling or Reimplantation for Valve-Sparing Aortic Root Surgery?
Ann. Thorac. Surg., February 1, 2007; 83(2): S752 - S756.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Albes, U. A. Stock, and M. Hartrumpf
Restitution of the Aortic Valve: What is New, What is Proven, and What is Obsolete?
Ann. Thorac. Surg., October 1, 2005; 80(4): 1540 - 1549.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Erasmi, H.-H. Sievers, M. Scharfschwerdt, T. Eckel, and M. Misfeld
In vitro hydrodynamics, cusp-bending deformation, and root distensibility for different types of aortic valve-sparing operations: Remodeling, sinus prosthesis, and reimplantation
J. Thorac. Cardiovasc. Surg., October 1, 2005; 130(4): 1044 - 1049.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
K. Kallenbach, T. Oelze, R. Salcher, C. Hagl, M. Karck, R. G. Leyh, and A. Haverich
Evolving Strategies for Treatment of Acute Aortic Dissection Type A
Circulation, September 14, 2004; 110(11_suppl_1): II-243 - II-249.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
K. Kallenbach, R.G. Leyh, R. Salcher, M. Karck, C. Hagl, and A. Haverich
Acute aortic dissection versus aortic root aneurysm: comparison of indications for valve sparing aortic root reconstruction
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 663 - 670.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. A. Hopkins
Aortic valve leaflet sparing and salvage surgery: evolution of techniques for aortic root reconstruction
Eur. J. Cardiothorac. Surg., December 1, 2003; 24(6): 886 - 897.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. T. Lai, D. C. Miller, R. S. Mitchell, P. E. Oyer, K. A. Moore, R. C. Robbins, N. E. Shumway, and B. A. Reitz
Acute type a aortic dissection complicated by aortic regurgitation: composite valve graft versus separate valve graft versus conservative valve repair
J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1978 - 1985.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. G. Leyh, K. Kallenbach, M. Karck, C. Hagl, S. Fischer, and A. Haverich
Impact of Preoperative Aortic Root Diameter on Long-Term Aortic Valve Function After Valve Sparing Aortic Root Reimplantation
Circulation, September 9, 2003; 108(90101): II-285 - 290.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. W. Erasmi, U. Stierle, J.F. M. Bechtel, C. Schmidtke, H. H. Sievers, and E. G. Kraatz
Up to 7 years' experience with valve-sparing aortic root remodeling/reimplantation for acute type a dissection
Ann. Thorac. Surg., July 1, 2003; 76(1): 99 - 104.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Kallenbach, C. Hagl, T. Walles, R. G. Leyh, K. Pethig, A. Haverich, and W. Harringer
Results of valve-sparing aortic root reconstruction in 158 consecutive patients
Ann. Thorac. Surg., December 1, 2002; 74(6): 2026 - 2033.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. G. Leyh, S. Fischer, K. Kallenbach, T. Kofidis, K. Pethig, W. Harringer, and A. Haverich
High Failure Rate After Valve-sparing Aortic Root Replacement Using the "Remodeling Technique" in Acute Type A Aortic Dissection
Circulation, September 24, 2002; 106(12_suppl_1): I-229 - I-233.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
K. Kallenbach, K. Pethig, R.G. Leyh, D. Baric, A. Haverich, and W. Harringer
Acute dissection of the ascending aorta: first results of emergency valve sparing aortic root reconstruction
Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 218 - 222.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Kirsch, C. Soustelle, R. Houel, M. L. Hillion, and D. Loisance
Risk factor analysis for proximal and distal reoperations after surgery for acute type A aortic dissection
J. Thorac. Cardiovasc. Surg., February 1, 2002; 123(2): 318 - 325.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. G. Leyh, S. Fischer, A. Ruhparwar, M. Karck, W. Harringer, and A. Haverich
Valve-sparing aortic root replacement in patients after a previous operation for acute type A aortic dissection
J. Thorac. Cardiovasc. Surg., February 1, 2002; 123(2): 377 - 378.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. De Paulis, G. M. De Matteis, P. Nardi, R. Scaffa, D. F. Colella, C. Bassano, F. Tomai, and L. Chiariello
One-year appraisal of a new aortic root conduit with sinuses of Valsalva
J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 33 - 39.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
T. Murashita, T. Kunihara, N. Shiiya, H. Aoki, K. Myojin, and K. Yasuda
Is preservation of the aortic valve different between acute and chronic type A aortic dissections?
Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 967 - 972.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. De Paulis, G. M. De Matteis, P. Nardi, R. Scaffa, M. M. Buratta, and L. Chiariello
Opening and closing characteristics of the aortic valve after valve-sparing procedures using a new aortic root conduit
Ann. Thorac. Surg., August 1, 2001; 72(2): 487 - 494.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Kazui, N. Washiyama, Abul Hasan Muhammad Bashar, H. Terada, K. Suzuki, K. Yamashita, and M. Takinami
Role of biologic glue repair of proximal aortic dissection in the development of early and midterm redissection of the aortic root
Ann. Thorac. Surg., August 1, 2001; 72(2): 509 - 514.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.