Abstract

Composite graft-valve replacement of the ascending aorta was performed in 18 patients over a 4-year-period. Sixteen (88.89%) patients were male and 2(11.11%) were female. Seven (38.88%) had dissection of aorta and 11 (61.12%) had annuloaortic ectasia. All patients had moderate to severe aortic incompetence. Aortic arch replacement was required in three patients in addition to ascending aorta replacement. Coronary artery implantation was done by the Cabrol technique in 12 (66.67%) patients and by the Bentall technique in 6(33.33%) patients. There was no hospital mortality. One patient died one year after surgery. Two (11.11%) required reexploration for bleeding. None of the patients required reoperation at a mean follow up of 29 months.

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