title: Aortic Root Wrapped Procedure for Treating Aortic Root Sinus Aneurysm.
abstract: BACKGROUND
  To develop a relatively simple and effective and low-risk operation, aortic root wrapped procedure, to treat aortic root aneurysm or ectasia.
  
  
  METHODS
  From June 2008 to September 2010, 15 patients were accepted for aortic root wrapped angioplasty procedure, Marfan's syndrome with aortic root ectasia in 2 cases, and aortic sinus aneurysm with middle to severe aortic valve stenosis and/or regurgitation in 13 cases. The diameter of aortic valve annulus was 25.43 ± 2.34 mm (range = 22-32 mm) and the diameter of aortic sinus was 50.45 ± 7.32 mm (range = 45-60 mm). All patients underwent aortic root wrapped angioplasty procedures with artificial blood vessel combined with aortic valve plasty or replacement with tissue valve prosthesis.
  
  
  RESULTS
  Fifteen patients survived well, and the perioperative mortality was 0%. Cardiopulmonary bypass time was 82.31 ± 16.34 minutes (range = 55-128 minutes). Predischarge echocardiography check result showed trace aortic regurgitation in 3 cases and normal aortic valve function in 12 cases. Compared with preoperative echocardiography results, the aortic annulus diameter (22.63 ± 1.25 mm [range = 21-25 mm]) decreased significantly (P < .01) and the aortic sinus diameter (36.86 ± 7.41 mm [range = 30-41 mm]) decreased significantly (P < .001). Follow-up results: All 15 patients survived well, and heart function (New York Heart Association classification) of the patients are all class I. The late mortality was 0%.
  
  
  CONCLUSIONS
  Aortic root wrapped procedures combined with aortic valve plastic or replacement operation is an alternative surgical procedure in patients with aortic sinus aneurysm and aortic valve disease.
authors.affiliation: Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China liwenbin65@vip.sina.com.
authors.forename: Wenbin
authors.initials: W
authors.lastname: Li
authors.affiliation: 306 Hopital of People's Liberal Army, Beijing, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Li
authors.affiliation: Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China.
authors.forename: Xiufang
authors.initials: X
authors.lastname: Xu
authors.affiliation: First Hospital Affiliated to Henan Science and Technology University, Henan, China.
authors.forename: Zhuoyi
authors.initials: Z
authors.lastname: An
authors.affiliation: First Hospital Affiliated to Henan Science and Technology University, Henan, China.
authors.forename: Quansheng
authors.initials: Q
authors.lastname: Chao
authors.affiliation: Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China.
authors.forename: Zifan
authors.initials: Z
authors.lastname: Zhou
authors.affiliation: Jiaozhou Mine Hospital, Henan, China.
authors.forename: Guangbin
authors.initials: G
authors.lastname: Hua
authors.affiliation: Jiaozhou Mine Hospital, Henan, China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing, China.
authors.forename: Anxin
authors.initials: A
authors.lastname: Liu
authors.affiliation: 306 Hopital of People's Liberal Army, Beijing, China.
authors.forename: Zhihong
authors.initials: Z
authors.lastname: Wan
mesh_terms: D000293:Adolescent; D000328:Adult; D017130:Angioplasty / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data; D002648:Child; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008382:Marfan Syndrome; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult
keywords: aortic root wrapped procedure; aortic sinus aneurysm; aortic valve disease