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Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection
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| Zeitschriftentitel: | Interactive CardioVascular and Thoracic Surgery |
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| Personen und Körperschaften: | , , , , , , , |
| In: | Interactive CardioVascular and Thoracic Surgery, 30, 2020, 1, S. 85-90 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Oxford University Press (OUP)
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| Schlagwörter: |
| author_facet |
Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya |
|---|---|
| author |
Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya |
| spellingShingle |
Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya Interactive CardioVascular and Thoracic Surgery Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine Surgery |
| author_sort |
kato, yasuyuki |
| spelling |
Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya 1569-9285 Oxford University Press (OUP) Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine Surgery http://dx.doi.org/10.1093/icvts/ivz227 <jats:title>Abstract</jats:title> <jats:p /> <jats:sec> <jats:title>OBJECTIVES</jats:title> <jats:p>To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection.</jats:p> </jats:sec> <jats:sec> <jats:title>METHODS</jats:title> <jats:p>From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of &lt;1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.</jats:p> </jats:sec> Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection Interactive CardioVascular and Thoracic Surgery |
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Oxford University Press (OUP), 2020 |
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| title |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_unstemmed |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_full |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_fullStr |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_full_unstemmed |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_short |
Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_sort |
aortic root remodelling with external ring annuloplasty in acute type a aortic dissection |
| topic |
Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine Surgery |
| url |
http://dx.doi.org/10.1093/icvts/ivz227 |
| publishDate |
2020 |
| physical |
85-90 |
| description |
<jats:title>Abstract</jats:title>
<jats:p />
<jats:sec>
<jats:title>OBJECTIVES</jats:title>
<jats:p>To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>METHODS</jats:title>
<jats:p>From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESULTS</jats:title>
<jats:p>The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of &lt;1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CONCLUSIONS</jats:title>
<jats:p>Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.</jats:p>
</jats:sec> |
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| author | Kato, Yasuyuki, Sasaki, Kenichi, Yamauchi, Hidetaka, Kanno, Yasuyuki, Jinno, Taiyo, Yamada, Muneaki, Kiyama, Hiroshi, Koyanagi, Toshiya |
| author_facet | Kato, Yasuyuki, Sasaki, Kenichi, Yamauchi, Hidetaka, Kanno, Yasuyuki, Jinno, Taiyo, Yamada, Muneaki, Kiyama, Hiroshi, Koyanagi, Toshiya, Kato, Yasuyuki, Sasaki, Kenichi, Yamauchi, Hidetaka, Kanno, Yasuyuki, Jinno, Taiyo, Yamada, Muneaki, Kiyama, Hiroshi, Koyanagi, Toshiya |
| author_sort | kato, yasuyuki |
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| container_title | Interactive CardioVascular and Thoracic Surgery |
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| description | <jats:title>Abstract</jats:title> <jats:p /> <jats:sec> <jats:title>OBJECTIVES</jats:title> <jats:p>To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection.</jats:p> </jats:sec> <jats:sec> <jats:title>METHODS</jats:title> <jats:p>From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of &lt;1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.</jats:p> </jats:sec> |
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| imprint | Oxford University Press (OUP), 2020 |
| imprint_str_mv | Oxford University Press (OUP), 2020 |
| institution | DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1 |
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| physical | 85-90 |
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| publisher | Oxford University Press (OUP) |
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| series | Interactive CardioVascular and Thoracic Surgery |
| source_id | 49 |
| spelling | Kato, Yasuyuki Sasaki, Kenichi Yamauchi, Hidetaka Kanno, Yasuyuki Jinno, Taiyo Yamada, Muneaki Kiyama, Hiroshi Koyanagi, Toshiya 1569-9285 Oxford University Press (OUP) Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine Surgery http://dx.doi.org/10.1093/icvts/ivz227 <jats:title>Abstract</jats:title> <jats:p /> <jats:sec> <jats:title>OBJECTIVES</jats:title> <jats:p>To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection.</jats:p> </jats:sec> <jats:sec> <jats:title>METHODS</jats:title> <jats:p>From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated.</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of &lt;1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.</jats:p> </jats:sec> Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection Interactive CardioVascular and Thoracic Surgery |
| spellingShingle | Kato, Yasuyuki, Sasaki, Kenichi, Yamauchi, Hidetaka, Kanno, Yasuyuki, Jinno, Taiyo, Yamada, Muneaki, Kiyama, Hiroshi, Koyanagi, Toshiya, Interactive CardioVascular and Thoracic Surgery, Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection, Cardiology and Cardiovascular Medicine, Pulmonary and Respiratory Medicine, Surgery |
| title | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_full | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_fullStr | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_full_unstemmed | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_short | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| title_sort | aortic root remodelling with external ring annuloplasty in acute type a aortic dissection |
| title_unstemmed | Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection |
| topic | Cardiology and Cardiovascular Medicine, Pulmonary and Respiratory Medicine, Surgery |
| url | http://dx.doi.org/10.1093/icvts/ivz227 |