[Ascending aorta replacement late after aortic valve replacement].

Yasunari Hayashi, Toshiaki Ito, Atsuo Maekawa, Sadanari Sawaki, Genyo Fujii, Satoshi Hoshino, Masayoshi Tokoro, Junji Yanagisawa

研究成果: Article査読

抄録

Replacement of the asceding aorta is indicated in patients undergoing aortic valve replacement( AVR), if the diameter of the ascending aorta is greater than 5.0 cm. If the diameter of the asceding aorta is from 4.0 to 5.0 cm, it was arguable whether replacement of the ascending aorta should be performed. Nine patients who underwent reoperative ascending aorta replacement after AVR were reviewed retrospectively. Reoperation on the asending aorta replacement was performed 11.8±7.2 years (range 1y5m~23y3m) after AVR. Mean patient age was 69.9±6.3 (range 60~81). In 2 cases, reoperations were performed early year after AVR. Although ascending aorta was dilated at the 1st operation, replacement wasn't performed for the age and minimally invasive cardiac surgery (MICS). In 3 cases, reoperations were performed more than 10 years later. On these cases, ascending aorta aneurysm and dissection occurred with no pain and were pointed out by computed tomography(CT) or ultrasonic cardiogram(UCG). We think that patients with dilatation of the ascending aorta should undergo AVR and aorta replacement at the 1st operation regardness of age. It is important that patients who underwent AVR should undergo a regular checkup on the ascending aorta.

本文言語English
ページ(範囲)523-526; discussion 526-529
ジャーナルKyobu geka. The Japanese journal of thoracic surgery
66
7
出版ステータスPublished - 07-2013

All Science Journal Classification (ASJC) codes

  • 医学(全般)

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