European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
-
Eur J Cardiothorac Surg · Nov 2011
A new and simple classification for the non-coronary sinus of Valsalva aneurysm.
We introduce a simple classification of the non-coronary sinus of Valsalva aneurysm, and suggest a different approach for the corresponding type of non-coronary sinus of Valsalva aneurysm. ⋯ Approach through the right atrium or right atrium with aortotomy showed the same early surgical results. Our classification of non-coronary SVA is simple and practical for clinical usage.
-
Eur J Cardiothorac Surg · Nov 2011
Comparative StudyAre bicuspid aortic valves a limitation for aortic valve repair?
To compare the mid-term results after aortic valve (AV) repair in bicuspid AVs with those in tricuspid AVs. ⋯ The mid-term outcome in terms of survival, freedom from reoperation or recurrent AR is similar for both groups of patients after AV repair procedures. Therefore, we advocate valve repair also in patients presenting with an insufficient bicuspid AV.
-
Eur J Cardiothorac Surg · Nov 2011
Comparative StudyComparison of aortic root replacement in patients with Marfan syndrome.
Although the aortic-valve-sparing (AVS) reimplantation technique according to David has shown favorable durability results in mid-term and long-term studies, composite valve grafting (CVG) according to Bentall is still considered the standard procedure. ⋯ The reimplantation technique according to David was associated with excellent survival, good valve function and a low rate of re-operation, endocarditis, and stroke. There was a trend to better event-free survival for AVS patients making it the procedure of choice in MFS patients.
-
Eur J Cardiothorac Surg · Nov 2011
Frozen elephant trunk technique and partial remodeling for acute type A aortic dissection.
The aimed to describe the frozen elephant trunk (FET) technique and partial remodeling (PR) for acute type A aortic dissection (ATAAD), considering the long-term prognosis on the basis of our 13 years of experience. ⋯ FET and modified PR techniques could be effective for improving the long-term outcome on the distal and proximal aorta in an ATAAD.
-
Eur J Cardiothorac Surg · Nov 2011
The effectiveness of high-flow regional cerebral perfusion in Norwood stage I palliation.
Regional cerebral perfusion (RCP) has been shown to provide cerebral circulatory support during Norwood procedure. In our institution, high-flow RCP (HFRCP) from the right innominate artery has been induced to keep sufficient cerebral and somatic oxygen delivery via collateral vessels. We studied the effectiveness of HFRCP to regional cerebral and somatic tissue oxygenation in Norwood stage I palliation. ⋯ Our study revealed that HFRCP preserved sufficient cerebral and somatic tissue oxygenation during the Norwood procedure. The reduction of vascular resistance of collateral vessels increased both cerebral and somatic blood flow, resulting in improved tissue oxygen delivery.