[Replacement of the ascending aorta and aortic valve with re-implantation of the coronary arteries. Long-term results in 20 cases (author's transl)].
Total replacement of the ascending aorta and aortic valve using Bentall's technique was carried out in 20 patients with dystrophic (13 cases), chronic dissecting (4 cases) or acute dissecting (3 cases) aneurysm. Five patients died in the first month following surgery, but all patients operated upon for dystrophic aneurysm survived. The mean follow-up period for the 15 survivors was 39 months, and there was no late death. Thirteen patients are leading a normal life. Nine out of 14 control aortographies were performed 48 months on average after the operation. They showed normal and stable anatomical restoration of the aorta and coronary system. Total replacement of the ascending aorta seems to be the operation of choice for dystrophic aneurysm.
D000328:Adult; D000368:Aged; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D003331:Coronary Vessels / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012092:Replantation
Remplacement de l'aorte ascendante et de la valve aortique avec réimplantation des coronaires. Résultats à long terme chez 20 malades.