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Table 1 Case series of 9 patients who underwent “spiral” aortoplasty with concomitant aortic valve replacement +/− CABG +/− mitral valve repair

From: Spiral aortoplasty for dilated ascending aorta: a new technique for high-risk patients with combined procedures

Series no. Age / Sex AAD before surgery LV EF Diagnosis Bicuspid aortic valve Euro Score Procedure Follow-up time Condition on follow-up
1 53 M 4.7 cm 30% CHF + 54.50% Aortoplasty 30 months Stable. AAD 3.8 cm
    Severe AI    AVR (mosaic #27)   
    Moderate MR    MV repair (annuloplasty #30)   
    Atrial fibrillation    MAZE   
    Stroke    LAA clot extraction and ligation   
    Clot in the LAA      
2 70 M 4.5 cm 25% CHF + 20.40% Aortoplasty 28 months Stable. AAD 3.6 cm
    Severe AI    AVR (mosaic #27)   
3 60 M 4.5 cm 35% Severe AS   17.70% Aortoplasty 25 months Stable. AAD 3.7 cm
    CAD: LAD stenosis    AVR (mosaic #25)   
       CABG: LIMA-LAD   
4 67 M 4.6 cm 30% Severe AS   20.20% Aortoplasty 21 months Stable. AAD 3.8 cm
    Moderate MR    AVR (mosaic #21)   
    CAD: LAD stenosis    MV repair (annuloplasty #28)   
       CABG: LIMA-LAD   
5 62 F 4.5 cm 40% Severe AS + 9.50% Aortoplasty 17 months Stable. AAD 3.3 cm
    Mild MR    AVR (mosaic #23)   
    CAD: ostial RCA stenosis    CABG: SVG-RCA   
6 55 M 4.8 cm 15% Severe AI + 24.00% Aortoplasty 16 months Stable. AAD 3.9 cm
    CAD: 3 vessel disease    AVR (mosaic #27)   
       CABG: LIMA-LAD, SVG-OM, SVG-PDA   
7 50 M 4.8 cm 20% CHF + 84.70% Aortoplasty 14 months AAD 3.7 cm. The patient presented with aortic prosthesis endocarditis and aortic root abscess 10 months after the first operation. He underwent redo surgery with aortic annulus reconstruction and AVR. The patient was discharged on chronic dialysis and died 4 months later due to refractory heart failure.
    Severe AI    AVR (mosaic #27)  
    Severe MR    MV repair (annuloplasty #30)  
    Chronic kidney disease (creatinine 200 μmol/L)     
8 66 M 4.6 cm 40% Severe AI   12.80% Aortoplasty 6 months Stable. AAD 3.5 cm
    CAD: RCA total occlusion    AVR (mosaic #25)   
       CABG: SVG-PDA   
9 72 M 4.5 cm 40% Severe AS + 11.00% Aortoplasty   
    CAD: 3 vessel disease    AVR (mosaic #23) 4 months Stable. AAD 3.5 cm
       CABG: LIMA-LAD, SVG-OM, SVG-PDA   
  1. AA ascending aorta, AAD ascending aorta diameter, AI aortic regurgitation, AS aortic stenosis, AVR aortic valve replacement, CABG coronary artery bypass grafting, CAD coronary artery disease, CHF congestive heart failure, LAA left atrial appendage, LAD left anterior descending, LIMA left internal mammary, LV EF left ventricular ejection fraction, MR mitral regurgitation, OM obtuse marginal, RCA: right coronary artery, PDA posterior descending artery, SVG saphenous vein graft