Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8068
Title: Ascending aortic aneurysm treatment with linear plication and external wrapping technique: Mid-term results
Authors: Özcan, Ali Vefa
Alşalaldeh, Mohammad
Boysan, Emre
Gökşin, İbrahim
Keywords: adult
aged
aneurysm surgery
aorta aneurysm
aorta clamping
aorta valve replacement
aortoplasty
artery diameter
article
ascending aorta aneurysm
ascending aorta surgery
cardiopulmonary bypass
clinical effectiveness
computer assisted tomography
coronary artery bypass graft
dacron vascular prosthesis
female
follow up
high risk patient
human
length of stay
major clinical study
male
multiple organ failure
patient safety
perioperative period
postoperative period
surgical mortality
surgical patient
surgical risk
surgical technique
Aged
Aged, 80 and over
Aorta
Aortic Aneurysm
Aortography
Cardiopulmonary Bypass
Constriction
Female
Follow-Up Studies
Humans
Male
Middle Aged
Risk
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures
Abstract: Objective The aim of this study is to assess mid-term outcomes of reduction aortoplasty and wrapping technique which is an alternative method to replacement of the aorta in ascending aortic aneurysms. We aimed to show the efficacy of this technique especially when used for patients with increased perioperative mortality or morbidity due to their concomitant pathologies. Materials and Methods From March 2009 to May 2011, 22 patients underwent reduction aortoplasty and wrapping for ascending aortic aneurysm. The study group consisted of 16 male and six female patients with a mean age of 68 ± 13.1 years. Linear plication with wrapping was performed as concomitant surgery in 20 patients and as a primary procedure in two patients. The diameter of the aorta was measured using a computed tomography scan 12 months after surgery and was compared with the preoperative value. Results Mean aortic clamp and cardiopulmonary bypass times were 91.0 ± 58.1 and 150.7 ± 80.9 minutes, respectively. Mortality was 9.1%. In no case was the postoperative death related to the aortoplasty procedure. The mean postoperative ascending diameter was 29.5 ± 1.04 mm (vs. preoperative 49.1 ± 4.1 mm, p < 0.001). Mean follow-up time was 17.2 ± 8.88 months. During the follow-up period we observed that there were no findings to suggest redilatation. Conclusion Linear plication with external wrapping is a therapeutic option with promising mid-term results, in carefully selected, high surgical risk patients with an ascending aortic aneurysm. doi:10.1111/jocs.12139 (J Card Surg 2013;28:421-426) © 2013 Wiley Periodicals, Inc.
URI: https://hdl.handle.net/11499/8068
https://doi.org/10.1111/jocs.12139
ISSN: 0886-0440
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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