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  • Open Access

Dilated ascending aorta: is reductive ascending aortoplasty really forgotten?

Journal of Cardiothoracic Surgery20138 (Suppl 1) :P6

https://doi.org/10.1186/1749-8090-8-S1-P6

  • Published:

Keywords

  • Public Health
  • Cardiac Surgery
  • Recurrence Rate
  • Aortic Valve
  • Thoracic Surgery

Background

Patients with dilated ascending aorta require surgical correction due to increased risk for aortic dissection and/or rupture. However, there is a controversy whether the dilated ascending aorta should be replaced with prosthetic graft or reduced by reductive ascending aortoplasty (RAA). The aim of this study is to analyze our results with “cut and sew” unwrapped RAA.

Method

There were 25 pts operated on from 2002 to 2013. The average size of aorta was 5.5±0.4cm, and most of the patient had concomitant aortic valve stenosis or insufficiency. All patients were treated with unwrapped RAA.

Results

There was no postoperative (30 days) mortality. The average size of reduced aorta was 3.4±0.3cm. There was no significant postoperative bleeding or other major immediate morbidities. Most of the patients had abnormal histological finding of the aortic wall specimen. Recurrence rate after 10 years follow up was 4.5% (1pt).

Conclusion

Unwrapped RAA procedure could be successfully applied in selective, preferable older patients with dilation of ascending aorta. However, prosthetic graft implantation is recommended in patients where rapid recurrent aortic dilation is expected.

Authors’ Affiliations

(1)
Institute for CVD of Vojvodina, Sremska Kamenica, Serbia

Copyright

© Jonjev et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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