Abstract
Cardiac reinterventions are increasingly frequent; among these, reoperations on the aortic root are particularly demanding. Patients may have aortic valve replacement (AVR) complication (ie, ascending aortic pseudoaneurysm) or evolution toward frank aortic disease (aortic root ascending aortic aneurysm). Our current inability to reliably predict the course of borderline ascending aortic dilatation at the time of AVR in patients without Marfan disease may account for a significant number of cases presenting electively for this redo surgery. We discuss a modified Bentall procedure for replacement of the aortic root and ascending aorta in 4 patients in whom a late aneurysm of the aortic root, ascending aorta, and arch (1 case) developed. A well-functioning aortic valvular prosthesis was present, which was spared and left in place. The early results, advantages, and disadvantages are discussed.
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call