Aortic dissection late after aortic valve replacement
Tóm tắt
We experienced 3 cases of an aortic dissection occurring late after an aortic valve replacement, and sucessfully treated by an aortic root replacement. An aortic dissection involving the ascending aorta can develop late after an aortic valve replacement, and such an occurrence is associated with a high mortality and morbidity. The development of effective surgical strategies at the initial aortic valve surgery, strict control of blood pressure after aortic valve replacement, serial evaluations of aortic size, and the prophylactic replacement of the ascending aorta for patients with aortic dilatation after aortic valve replacement, all play clinically important roles in preventing an aortic dissection after aortic valve replacement. When an aortic dissection occurs in patients with a previous aortic valve replacement, an aortic root replacement should be performed in order to avoid leaving the fragile diseased aortic wall including the sinus of Valsalva.
Tài liệu tham khảo
citation_journal_title=Thorac Cardiovasc Surg; citation_title=Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity; citation_author=Y Kodolitsch, R Loose, J Ostermeyer, A Aydin, DH Koschyk, A Haverich; citation_volume=48; citation_publication_date=2000; citation_pages=342-6; citation_doi=10.1055/s-2000-8346; citation_id=CR1
citation_journal_title=J Heart Valve Dis; citation_title=Aortic complications after aortic valve replacement in patients with dilated ascending aorta and aortic regurgitation; citation_author=M Natsuaki, T Itoh, K Rikitake, Y Okazaki, K Naitoh; citation_volume=7; citation_publication_date=1998; citation_pages=504-9; citation_id=CR2
citation_journal_title=J Card Surg; citation_title=Aortic dissection after aortic valve replacement: Incidence and consequences for strategy; citation_author=K Prenger, F Pieters, E Cheriex; citation_volume=9; citation_publication_date=1994; citation_pages=495-9; citation_doi=10.1111/j.1540-8191.1994.tb00882.x; citation_id=CR3
citation_journal_title=Ann Thorac Surg; citation_title=Composite graft replacement of the aortic root after previous cardiac surgery: A 20-year experience; citation_author=MP Vallely, CF Hughes, PG Bannon, PN Hendel, BG French, MS Bayfield; citation_volume=70; citation_publication_date=2000; citation_pages=851-5; citation_doi=10.1016/S0003-4975(00)01509-5; citation_id=CR4
citation_journal_title=Ann Thorac Surg; citation_title=Reoperations on the ascending aorta and aortic root: Pitfalls and results in 134 patients; citation_author=MA Schepens, KM Dossche, WJ Morshuis; citation_volume=68; citation_publication_date=1999; citation_pages=1676-80; citation_doi=10.1016/S0003-4975(99)00760-2; citation_id=CR5
citation_journal_title=J Thorac Cardiovasc Surg; citation_title=Eleven-year experience with composite graft replacement of the ascending aorta and aortic valve; citation_author=NT Kouchoukos, WG Marshall, TA Wedige-Stecher; citation_volume=92; citation_publication_date=1986; citation_pages=691-705; citation_id=CR6
citation_journal_title=Am J Cardiol; citation_title=Risk of aortic dissection after aortic valve replacement; citation_author=FA Pieters, JW Widdershoven, AC Gerardy, G Geskes, EC Cheriex, HJ Wellens; citation_volume=72; citation_publication_date=1993; citation_pages=1043-7; citation_doi=10.1016/0002-9149(93)90860-F; citation_id=CR7
citation_journal_title=Ann Thorac Surg; citation_title=Surgical treatment of the dilated ascending aorta: When and how?; citation_author=MA Ergin, D Spielvogel, A Apaydin, SL Lansman, JN McCullough, JD Galla; citation_volume=67; citation_publication_date=1999; citation_pages=1834-56; citation_doi=10.1016/S0003-4975(99)00439-7; citation_id=CR8
citation_journal_title=Ann Thorac Surg; citation_title=Aortic complications after bicuspid aortic valve replacement: Long-term results; citation_author=CF Russo, S Mazzetti, A Garatti, E Ribera, A Milazzo, G Bruschi; citation_volume=74; citation_publication_date=2002; citation_pages=1773-99; citation_doi=10.1016/S0003-4975(02)04261-3; citation_id=CR9
citation_journal_title=J Heart Valve Dis; citation_title=Ascending aorta dissection after aortic valve replacement; citation_author=A Milano, S Pratali, M Carlo, G Borzoni, G Tartarini, U Bortolotti; citation_volume=7; citation_publication_date=1998; citation_pages=75-80; citation_id=CR10