Small aortic root: Early and late results of aortic root dilatation operations

CONCLUSION: Supraannular patch (1), Nick procedure (8), Manouguian-Seybold Epting (4), Konno-Rastan (1) were the procedures used in the operative management.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Aortic valve replacements are mostly performed with quite low mortality and morbidity rates.

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Key Findings & Data:MATERIAL AND METHODS: Here we report 14 aortic root enlargement procedures performed at the Cardiovascular Department of University of Ankara, between June 1992 and September 1999.

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Conclusion & Impact:CONCLUSION: Supraannular patch (1), Nick procedure (8), Manouguian-Seybold Epting (4), Konno-Rastan (1) were the procedures used in the operative management.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Kalp damar cerrahi işlemleri · Aort hastalıkları · Aort kapağı

Abstract

AIM: Aortic valve replacements are mostly performed with quite low mortality and morbidity rates. However, sometimes post operative life quality of the patients seems to be worse than expected. Most of the times, the main reason for this problem is, replacement of undersized mechanical or bioprosthetic valves because of the small aortic roots. To overcome this problem, some 'root enlargement procedures' are defined. MATERIAL AND METHODS: Here we report 14 aortic root enlargement procedures performed at the Cardiovascular Department of University of Ankara, between June 1992 and September 1999. RESULTS: Preoperative mean aortic valve gradient was 74.43 ± 13.45 mmHg. The distribution of patients according to the functional status (NYHA) were as follows; 3 patients in Class II, 7 in Class III, 4 in Class IV. CONCLUSION: Supraannular patch (1), Nick procedure (8), Manouguian-Seybold Epting (4), Konno-Rastan (1) were the procedures used in the operative management.

Özet

AMAÇ: Aort kapak replasmanı operasyonları, kalp cerrahisindeki bilgi ve tecrübe birikimine paralel olarak, çok düşük mortalite ve morbidite hızları ile yapılmakta olan operasyonlardır Ancak, bazı koşullarda, operasyon başarılı bile olsa hastanın yasam kalitesinde beklenen düzelme sağlanamayabilir. Buna yol açan nedenlerin başında dar aortik anülüs nedeni ile hastaya olması gerekenden daha küçük ölçekli kapak takmak zorunda kalınması gelir. GEREÇ VE YÖNTEM: Ankara Üniversitesi Kalp ve Damar Cerrahisi Ana Bilim Dalı'nda, Haziran 1992-Eylül 1999 arasında dar aortik anülüs genişletilmesi işlemi yapılan 14 olgu sunulmuştur. BULGULAR: Hastaların preoperatif aortik kapak gradienti ortalama 74.43±13.45 mmHg, fonksiyonel kapasiteleri NYHA sınıflamasına göre üç hastada Class II, yedi hastada Class III, dört hastada Class IV olarak değişmekteydi. SONUÇ: Bir hastaya supraanüler yama tekniği ile, 8 hastaya Nick tekniği ile, 4 hastaya Manouguian-Seybold Epting tekniği ile ve 1 hastaya Konno-Rastan tekniği ile aortik kök genişletme operasyonu uygulanmıştır.

Keywords

Kalp damar cerrahi işlemleri Aort hastalıkları Aort kapağı Aort kapağı darlığı Kalp kapağı protezleri Cerrahi işlemler operatif Cardiovascular Surgical Procedures Aortic Diseases Aortic Valve Aortic Valve Stenosis Heart Valve Prosthesis Surgical Procedures Operative

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Cite This Article

ÖZBERRAK, H., ŞIRLAK, M., ERYILMAZ, S., EREN, N. T., ÇORAPÇIOĞLU, T., AKALIN, H. (2000). Small aortic root: Early and late results of aortic root dilatation operations. MN Kardiyoloji, Cilt: 7 - Sayı: 4, 308–311. https://ajindex.com/articles/298080

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