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The Journal of Thoracic and Cardiovascular Surgery, Vol 100, 781-786, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MC Oz, RC Ashton Jr and GM Lemole
From 1980 to 1988, 30 patients from a total population of 123 recipients of
sutureless grafts (24%) have required aortic reconstruction with a
composite ringed graft. Replacement of the ascending aorta was required in
12 patients, of the aortic arch in six patients, of the descending aorta in
two patients, of the thoracoabdominal aorta in two patients, and of the
abdominal aorta in eight patients. Eight patients (27%) needed an emergency
operation at the time of admission. No patients had permanent neurologic or
renal deficits. There was no evidence of pseudoaneurysm formation, graft
erosion, graft migration, or aortic bleeding in the postoperative period.
Two operative deaths (7%) occurred, both in patients undergoing arch
reconstruction. Composite grafts can be created that vary in length and
shape, incorporate different graft materials, and accommodate the aorta and
its branches. The ability to modify the sutureless prosthesis to suit the
disease encountered at operation allows the quickest repair with the least
chance of anastomotic complication.
ARTICLES
Aortic replacement with composite grafts created with a sutureless intraluminal ringed prosthesis
Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, N.Y.
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