title: [Surgical approach and long-term results on replacement of the aortic valve and ascending aorta with a composite graft].
abstract: From March, 1980 to January, 1991, 18 patients, 14 male and 4 female patients ranging in age from 22 to 63 years, were operated on for aortic regurgitation associated with an aneurysm of the ascending aorta. Twelve patients had annuloaortic ectasia; six had DeBakey type I or II dissection; three had Marfan syndrome; and one had aortitis syndrome. The surgical treatment consisted of 16 Bentall operations and 2 modified Cabrol operations with a composite graft and aortic wrapping. The operative mortality was 5.6% (one death). The late mortality has been 4/15. The actuarial survival rate is 82.6% at 5 years and 72.3% at 7 years. Modified Cabrol technique consists of two short interposed grafts with equine pericardial miniskirts between coronary ostia and composite graft, in which Carbomedics mitral valve (No. 23 or 25) is placed 5-10 mm above the proximal extremity. This technique is a safe and reliable method with no bleeding nor mortality and excellent long-term results.
authors.affiliation: Department of Thoracic Surgery, University of Tokyo School of Medicine.
authors.forename: K
authors.initials: K
authors.lastname: Yagyu
authors.forename: H
authors.initials: H
authors.lastname: Okabe
authors.forename: H
authors.initials: H
authors.lastname: Matsunaga
authors.forename: H
authors.initials: H
authors.lastname: Makuuchi
authors.forename: A
authors.initials: A
authors.lastname: Furuse
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis / Q000379:methods*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies