title: [Preservation of aortic root with severe destruction in Stanford type A acute aortic dissection].
abstract: From November 1999 to December 2008, 197 patients with Stanford type A acute aortic dissection underwent the surgical treatment on an emergency basis. In 19 cases, we preserved the severely destroyed aortic root using gelatin-resorcin-formalin (GRF) glue avoiding aortic root replacement. We examined the indication and limitation of repair of the destroyed aortic root. The 19 patients were classified into 3 groups (A, B and C). Group A consisted of 7 patients who had no aortic regurgitation (AR). Group B consisted of 6 patients who had moderate to severe AR. Group C consisted of 6 patients who had coronary involvement. We preserved the broken aortic root in group A and group B. But it seemed to be rather difficult to repair the destroyed aortic root in some cases of group C.
authors.affiliation: Department of Cardiovascular Surgery, Nara Hospital, Kinki University School of Medicine, Ikoma, Japan.
authors.forename: Kozo
authors.initials: K
authors.lastname: Kaneda
authors.forename: N
authors.initials: N
authors.lastname: Nishiwaki
authors.forename: S
authors.initials: S
authors.lastname: Yokoyama
authors.forename: S
authors.initials: S
authors.lastname: Nagasaka
authors.forename: S
authors.initials: S
authors.lastname: Hirao
authors.forename: D
authors.initials: D
authors.lastname: Heima
authors.forename: A
authors.initials: A
authors.lastname: Morishima
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshida
authors.forename: H
authors.initials: H
authors.lastname: Nagato
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta; D001014:Aortic Aneurysm / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged