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Verfasst von:Karck, Matthias [VerfasserIn]   i
 Kallenbach, Klaus [VerfasserIn]   i
 Hagl, Christian Matthias [VerfasserIn]   i
 Aichele, Christine [VerfasserIn]   i
 Leyh, Rainer Günther [VerfasserIn]   i
 Haverich, Axel [VerfasserIn]   i
Titel:Aortic root surgery in Marfan syndrome
Titelzusatz:comparison of aortic valve-sparing reimplantation versus composite grafting
Verf.angabe:Matthias Karck, MD, Klaus Kallenbach, MD, Christian Hagl, MD, Christine Rhein, MD, Rainer Leyh, MD, Axel Haverich, MD
E-Jahr:2004
Jahr:February 2004
Umfang:8 S.
Fussnoten:Read at the Eighty-third Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 4-7, 2003 ; Gesehen am 30.03.2022
Titel Quelle:Enthalten in: The journal of thoracic and cardiovascular surgery
Ort Quelle:Stanford, Calif. : HighWire Press, 1959
Jahr Quelle:2004
Band/Heft Quelle:127(2004), 2, Seite 391-398
ISSN Quelle:1097-685X
Abstract:Objective - The objective of this study was to compare the results of aortic valve-sparing reimplantation and aortic root replacement with mechanical valve conduits in patients with Marfan syndrome undergoing operation for aortic root aneurysms. - Patients and methods - Between March 1979 and April 2002, 119 patients with clinical evidence of Marfan syndrome underwent composite graft replacement with mechanical valve conduits (n = 74) or aortic valve-sparing reimplantation according to David (n = 45). The underlying causes were aortic dissection type A (43 patients) and aneurysms (76 patients). - Results - Patients undergoing aortic valve reimplantation were younger compared with patients undergoing composite grafting (28 vs 35 years, P = .002) and had longer intraoperative aortic crossclamp times (125 vs 78 minutes, P < .0001) and extracorporeal circulation times (162 vs 124 minutes, P < .0001). Early postoperative mortality was 6.8% (n = 5) in patients undergoing composite grafting and 0% in patients undergoing aortic valve reimplantation (P = .15). Mean follow-up was 30 months for patients undergoing aortic valve reimplantation and 114 months for patients undergoing composite grafting. Freedom from reoperation and death after 5 years postoperatively was 92% and 89% in patients undergoing composite grafting and 84% and 96% in patients undergoing aortic valve reimplantation (P = .31; P = .54), respectively. Thromboembolic complications or late postoperative bleeding occurred in 17 patients undergoing composite grafting, and an early postoperative event occurred in 1 patient undergoing aortic valve reimplantation. - Conclusions - The results of aortic valve reimplantation and composite grafting of the aortic valve and ascending aorta with mechanical valve conduits are similar with regard to early and mid-term postoperative mortality and to the incidence of late reoperations in patients with Marfan syndrome. The low risk of thromboembolic or bleeding complications favors aortic valve reimplantation in these patients.
DOI:doi:10.1016/j.jtcvs.2003.07.049
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.jtcvs.2003.07.049
 Volltext: https://www.sciencedirect.com/science/article/pii/S0022522303016064
 DOI: https://doi.org/10.1016/j.jtcvs.2003.07.049
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:26
 35
K10plus-PPN:1797029762
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