Abstract
An aortic aneurysm is known as a bulging or dilatation of the aorta for more than one and half of its normal diameter result in making the wall of the aorta thinner and at the risk of dissection or rupture. For a long time ago surgeons have worked hard to find the best surgical technique to treat this pathology. Open surgery with the replacement of the aneurysmatic segment by a synthetic graft is still the standard surgical treatment method. In the past, some surgeons tried patching the aneurysmatic segment with synthetic patches. This technique was not accepted by many surgeons. In our cardiovascular surgical center, we perform linear plication and external wrapping (LPEW) surgical technique for more than ten years in well-selected patients whose aortic aneurysm diameter is less than 6 cm with normal aortic root and who has not any connective tissue disease, dissection, or rupture. Our results are satisfying with low morbidity and mortality.
Highlights
Ascending aortic aneurysm is one of the aortic pathologies that carries high mortality and morbidity mainly when the aneurysmatic aorta has dissection or rupture
An aortic aneurysm is known as a bulging or dilatation of the aorta for more than one and half of its normal diameter result in making the wall of the aorta thinner and at the risk of dissection or rupture
In our cardiovascular surgical center, we perform linear plication and external wrapping (LPEW) surgical technique for more than ten years in well-selected patients whose aortic aneurysm diameter is less than 6 cm with normal aortic root and who has not any connective tissue disease, dissection, or rupture
Summary
Ascending aortic aneurysm is one of the aortic pathologies that carries high mortality and morbidity mainly when the aneurysmatic aorta has dissection or rupture. Open surgical treatment can be achieved by replacement as well as it is done worldwide or by other alternative surgical methods [. We have good experience in managing such cases in well-selected patients by linear plication and external wrapping (LPEW). We will describe this surgical technique [1]
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