PMID- 16613144
OWN - NLM
STAT- MEDLINE
DCOM- 20060523
LR  - 20061115
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 59
IP  - 4
DP  - 2006 Apr
TI  - [Aortic root enlargement in elderly patients].
PG  - 278-82
AB  - From January 2003 to June 2005, 12 elderly patients with severe aortic stenosis 
      underwent aortic root enlargement (ARE) by Nicks procedure. Their ages ranged 
      from 74 to 87 with a mean of 79.3. Stented bioprosthesis were used in 11 cases. 
      There was no death. Cardiothoracic ratio on chest X-ray decreased from 59.4 to 
      53.6% and New York Heart Association (NYHA) functional class improved from 3.4 to 
      1.3. Echocardiography also showed remarkable improvement, in peak pressure 
      gradient (PG) from 98.3 to 20.7 mmHg, in left ventricular mass index (LVMI) 181 
      to 137 g/m2. LVM and LVMI regression rates were 25.3 and 22.3%, respectively. 
      Comparative study of those with ARE alone and those with combined operation 
      showed much hazardous effect in the latter, but no significant difference in 
      echocardiographic findings postoperatively. ARE by Nicks procedure, if it could 
      be performed without concomitant procedure, is a safe and effective option also 
      in elderly patients with small aortic annulus.
FAU - Sekino, Y
AU  - Sekino Y
AD  - Department of Cardiovascular Surgery, Tohoku Kosai Hospital, Sendai, Japan.
FAU - Yamaya, K
AU  - Yamaya K
FAU - Ito, T
AU  - Ito T
FAU - Sakuma, K
AU  - Sakuma K
FAU - Sato, S
AU  - Sato S
FAU - Tabayashi, K
AU  - Tabayashi K
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/*surgery
MH  - Aortic Valve Stenosis/surgery
MH  - Bioprosthesis
MH  - Female
MH  - Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation/methods
MH  - Humans
MH  - Male
MH  - Prognosis
MH  - Prosthesis Design
MH  - Prosthesis Fitting
MH  - Retrospective Studies
EDAT- 2006/04/15 09:00
MHDA- 2006/05/24 09:00
CRDT- 2006/04/15 09:00
PHST- 2006/04/15 09:00 [pubmed]
PHST- 2006/05/24 09:00 [medline]
PHST- 2006/04/15 09:00 [entrez]
PST - ppublish
SO  - Kyobu Geka. 2006 Apr;59(4):278-82.