PMID- 7930954
OWN - NLM
STAT- MEDLINE
DCOM- 19941103
LR  - 20041117
IS  - 0025-7850 (Print)
IS  - 0025-7850 (Linking)
VI  - 25
IP  - 1-2
DP  - 1994
TI  - Total composite graft replacement of the ascending aorta and aortic valve.
PG  - 113-20
AB  - Ten patients (nine male and one female), ranging in age from 21 to 68 years, were 
      operated on for total composite replacement of the ascending aorta and the aortic 
      valve. Among them annulo-aortic ectasia was the most common indication (five 
      patients), followed by annulo-aortic ectasia with aortic dissection (three 
      patients), the aneurysm and aortic valve regurgitation associated with aortitis 
      syndrome (one patient), and the syphilitic aneurysm and aortic valve 
      regurgitation (one patient). In the first four patients, composite replacement 
      was conducted according to the original procedure described by Bentall and DeBono 
      (1986). The next six patients were treated according to the procedure modified by 
      Cabrol et al. (1981). There were no operative deaths or complications during 
      hospitalization. However, late complications occurred in two patients at 46 
      months and 15 months after surgery, respectively. Despite the repair on an urgent 
      basis, one died of hepatic failure and the other died on the table with massive 
      disruption. Eight late survivors remain in the New York Heart Association (NYHA) 
      class 1 on an average of 4.3 years postoperatively. It is concluded that total 
      replacement with a composite graft is feasible in all patients with low operative 
      mortality, but this procedure needs a close follow-up because of the potential 
      for anastomotic dehiscences.
FAU - Otaki, M
AU  - Otaki M
AD  - Department of Cardiovascular Surgery, Osaka National Hospital, Japan.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Med
JT  - Journal of medicine
JID - 7505566
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aorta/*surgery
MH  - Aortic Valve/*surgery
MH  - *Blood Vessel Prosthesis
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/mortality
MH  - Survival Analysis
MH  - Vascular Surgical Procedures/*methods
EDAT- 1994/01/01 00:00
MHDA- 1994/01/01 00:01
CRDT- 1994/01/01 00:00
PHST- 1994/01/01 00:00 [pubmed]
PHST- 1994/01/01 00:01 [medline]
PHST- 1994/01/01 00:00 [entrez]
PST - ppublish
SO  - J Med. 1994;25(1-2):113-20.