Abstract
Simultaneous replacement of the ascending aorta and aortic valve has always been a challenging procedure. Introduction of composite conduits, through various ingenious procedures and their modifications, has changed the outlook of patients with aortic valve disease and ascending aorta pathology. In the past 70 years, progress of surgical techniques and prosthetic materials has allowed such patients to undergo radical procedures providing excellent early and long-term results in both young and elderly patients. This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field.
Highlights
In patients with aortic valve disease, dilatation of the ascending aorta is frequently present
This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field
Severe calcific aortic stenosis may cause aneurysm of the ascending aorta as a consequence of poststenotic dilatation; aortic insufficiency is commonly associated with aortic root and/or ascending aorta enlargement in patients with genetically inherited collagen tissue disorders.[1]
Summary
In patients with aortic valve disease, dilatation of the ascending aorta is frequently present. Severe calcific aortic stenosis may cause aneurysm of the ascending aorta as a consequence of poststenotic dilatation; aortic insufficiency is commonly associated with aortic root and/or ascending aorta enlargement in patients with genetically inherited collagen tissue disorders.[1] At present, simultaneous treatment of aortic valve disease and ascending aortic aneurysms has become commonplace, either if the lesions are amenable to repair or indicate replacement.[2,3] many years ago, these patients could represent a challenging problem, and to reach the current low risks and excellent results of such combined procedures, a long pathway, full of attempts, failures, and eventual successes, has been traced.
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