Subcoronary implantation of a stentless valve in patients with aortic aneurysms.
Experience with a new operation for patients with aortic valve disease and aneurysm or dissection of the ascending aorta is described. Twenty-four patients aged 66-87 years were operated on using a subcoronary implantation technique with a stentless aortic valve bioprosthesis and an extension using a vascular tube prosthesis. No major adverse cardiac events were observed in the postoperative period. This operation offers a safe alternative to the technically more demanding procedures of composite bioprosthetic ascending aortic replacement or full root replacement.
John
Alexander
A
Department of Cardiac Surgery, Schuechtermann Klinik, Ulmenallee 11, 49214 Bad Rothenfelde, Germany. ajohn@schuechtermann-klinik.de
Al-Hariri
Basel
B
Ackemann
Juergen
J
El-Mehsen
Mohamed
M
Roethemeyer
Stefan
S
Warnecke
Henning
H
D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000473:pathology / Q000601:surgery*; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011474:Prosthesis Design; D016896:Treatment Outcome