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


     

Ann Thorac Surg 2009;87:1161-1169. doi:10.1016/j.athoracsur.2009.01.016
© 2009 The Society of Thoracic Surgeons
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 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):
Philip J. Hess, Jr
P. Kent Harman
Charles T. Klodell
Thomas M. Beaver
Marco T. Bologna
Peter Mikhail
Curtis G. Tribble
Tomas D. Martin
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hess, P. J.
Right arrow Articles by Martin, T. D.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Hess, P. J., Jr
Right arrow Articles by Martin, T. D.
Related Collections
Right arrow Great vessels

Original Articles: Adult Cardiac

Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms

Philip J. Hess, Jr, MD*, P. Kent Harman, MD, Charles T. Klodell, MD, Thomas M. Beaver, MD, MPH, Marco T. Bologna, MD, Peter Mikhail, MD, Curtis G. Tribble, MD, Tomas D. Martin, MD

Division of Thoracic and Cardiovascular Surgery, University of Florida, College of Medicine, Gainesville, Florida

Accepted for publication January 7, 2009.

* Address correspondence to Dr Hess, Jr, Division of Thoracic and Cardiovascular Surgery, University of Florida, PO Box 100286, Gainesville, FL 32610 (Email: hesspj{at}surgery.ufl.edu).

Presented at the Fifty-fifth Annual Meeting of the Southern Thoracic Surgical Association, Austin, TX, Nov 5–8, 2008.

Background: The Florida sleeve procedure is a simplified valve-sparing technique for repair of functional type I aortic insufficiency associated with root aneurysms. Midterm outcomes are reported, including standard echocardiographic measurements.

Methods: The study included all patients undergoing the Florida sleeve procedure who had at least 2 years of postoperative echocardiographic follow-up. Data were acquired preoperatively and postoperatively at 1 week and 1, 2, and 3 years. Measurements analyzed included left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), and degree of aortic insufficiency.

Results: Complete echocardiographic data for a mean 32 ± 6.3 months after repair were available for 18 patients. Mean LVEDD decreased from 51.6 ± 7.4 to 49.7 ± 6.3 mm at 1 week (p = 0.05) and 47.1 ± 6.3 mm at 1 year (p = 0.008), and remained unchanged at 47.2 ± 6.6 and 47.1 ± 5.0 mm at 2 and 3 years. Mean LVESD decreased from 35.2 ± 7.6 to 32.9 ± 7.0 mm at 1 week (p = 0.002) and 30.7 ± 5.6 mm at 1 year (p < 0.001), and remained unchanged at 30.9 ± 6.2 and 31.7 ± 4.9 mm after 2 and 3 years. The mean grade of aortic insufficiency decreased from 2.61 ± 0.78 to 1.39 ± 0.85 mm at 1 week (p < 0.001) and remained 1.39 ± 0.84 mm at 1 year. Aortic insufficiency increased to 1.72 ± 0.89 (p = 0.03) at 2 years and decreased to 1.67 ± 0.50 (p = 0.59, from 1 week postoperatively) at 3 years.

Conclusions: The sustained reduction of left ventricular dimensions 3 years after operation suggests the Florida sleeve procedure is a durable valve repair. A minor increase in the degree of aortic insufficiency warrants close follow-up, but the absence of an increase of LVEDD supports continued use of the procedure in closely studied series.






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 © 2009 by The Society of Thoracic Surgeons.