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

This Article 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 Mayer, J. E. Articles by Nicoloff, D. M. Search for Related Content PubMed PubMed Citation Articles by Mayer, J. E., Jr Articles by Nicoloff, D. M.

The Journal of Thoracic and Cardiovascular Surgery, Vol 76, 816-823, Copyright © 1978 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Composite replacement of the aortic valve and ascending aorta

JE Mayer Jr, WG Lindsay, Y Wang, CR Jorgensen and DM Nicoloff

This report comprises 16 consecutive patients with ascending aortic aneurysms caused by cystic medical necrosis. We replaced the ascending aorta and aortic valve with a tightly woven Dacron graft containing a Lillehei-Kaster valve prosthesis and implanted the coronary ostia in the sides of the graft. All but two patients had massive aortic insufficiency. Postoperative catheterization was performed in 13 patients, and all surviving patients have been seen within the past 6 months. There was one perioperative death (6 percent) and two late deaths. Eleven survivors are in Class I and two are in Class II (N.Y.H.A.). Angiographically demonstrated late complications have included psuedoaneurysms of the coronary ostium (two), paravalvular leak (one), and pseudoaneurysm of the distal suture line (one). Two of these four patients were asymptomatic. Two of the four patients have had successful repair of these defects and a third is awaiting operation. Compositive replacement carries a low operative risk and minimizes problems of intraoperative bleeding. In view of the incidence of late suture line problems, routine angiography 6 to 12 months postoperatively is recommended. If new symptoms occur or if there is a change in the cardiac silhousette on chest roentgenogram, the patient should be recatheterized.

This article has been cited by other articles:

				T. Kazui, K. Yamashita, H. Terada, N. Washiyama, T. Suzuki, K. Ohkura, and K. Suzuki Late reoperation for proximal aortic and arch complications after previous composite graft replacement in marfan patients Ann. Thorac. Surg., October 1, 2003; 76(4): 1203 - 1207. [Abstract] [Full Text] [PDF]

				P. H. Wickstrom Repair of recurrent aneurysm after aortic valve and ascending aortic replacement Ann. Thorac. Surg., October 1, 2002; 74(4): 1246 - 1248. [Abstract] [Full Text] [PDF]

				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]

				R. Soyer, J. P. Bessou, F. Bouchart, M. Redonnet, D. Mouton-Schleifer, and J. Arrignon Surgical treatment of infected composite graft after replacement of ascending aorta Ann. Thorac. Surg., August 1, 1994; 58(2): 425 - 428. [Abstract] [PDF]

				J. Y. Neveux, P. Dervanian, T. A. Folliguet, L. Mace, and V. Guluta Technical modification for anastomosis of low-lying coronary ostia in Bentall procedure Ann. Thorac. Surg., August 1, 1993; 56(2): 383 - 384. [Abstract] [PDF]

				H. Y. Karagoz, Y. Zorlutuna, K. Babacan, T. Keceligil, O. Tasdemir, C. Yakut, and K. Bayazit Graft Replacement of Ascending Aortic Aneurysms. Surgical Results in 84 Consecutive Patients Vascular and Endovascular Surgery, July 1, 1991; 25(6): 452 - 459. [Abstract] [PDF]

				N. T. Kouchoukos Aortic graft-valve (composite) replacement at 20 years: Wrap or no wrap? Shunt or no shunt? Ann. Thorac. Surg., November 1, 1989; 48(5): 615 - 616. [PDF]

				E. O. McFalls, R. Palac, H. Gately, and H. S. Floten Pseudoaneurysm formation with superior vena caval syndrome 7 years after aortic composite graft placement Ann. Thorac. Surg., November 1, 1989; 48(5): 704 - 705. [Abstract] [PDF]

				J. S. Coselli and E. S. Crawford Composite valve-graft replacement of aortic root using separate Decron tube for coronary artery reattachment Ann. Thorac. Surg., April 1, 1989; 47(4): 558 - 565. [Abstract] [PDF]

				T. A. Orszulak, I. P. Clements, and J. H. Tinker Bjork-Shiley Leaflet Impairment in an Ascending Aortic Conduit Due to Extrinsic Compression by a False Aneurysm Ann. Thorac. Surg., December 1, 1982; 34(6): 706 - 709. [Abstract] [PDF]

				L. Egloff, M. Rothlin, J. Kugelmeier, A. Senning, and M. Turina The Ascending Aortic Aneurysm: Replacement or Repair? Ann. Thorac. Surg., August 1, 1982; 34(2): 117 - 124. [Abstract] [PDF]

				J. M. Piehler and J. R. Pluth Replacement of the Ascending Aorta and Aortic Valve with a Composite Graft in Patients with Nondisplaced Coronary Ostia Ann. Thorac. Surg., April 1, 1982; 33(4): 406 - 409. [Abstract] [PDF]

				J. G. Selle, F. Robicsek, H. K. Daugherty, J. W. Cook, and P. J. Hess Technical Options in Repairing the Diseased Ascending Aorta with Aortic Valve Involvement Ann. Thorac. Surg., December 1, 1981; 32(6): 578 - 583. [Abstract] [PDF]

				S. Houser, J. Mijangos, A. Sengupta, L. Zaroff, R. Weiner, and J. A. DeWeese Management of Fusiform Ascending Aortic Aneurysms Ann. Thorac. Surg., July 1, 1980; 30(1): 70 - 75. [Abstract] [PDF]

				C. S. Weldon, J. P. Connors, and M. N. Martz Use of Saphenous Vein to Extend and Relocate Coronary Arteries: Clinical Experience During Extensive Reconstructive Operations of the Aortic Root Arch Surg, November 1, 1979; 114(11): 1330 - 1335. [Abstract] [PDF]

				G. V. S. Parr and N. T. Kouchoukos Surgical Repair of Dissection of the Upper Descending Thoracic Aorta and Discrete Ascending Aortic Aneurysm Ann. Thorac. Surg., August 1, 1979; 28(2): 151 - 157. [Abstract] [PDF]