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Long-term results of root reconstruction using the Carrel patch.
S Yamashiro1, R Sakata, Y Nakayama
1Department of Cardiovascular Surgery, Kumamoto Central Hospital, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|June 22, 2000
Summary
The Carrel patch technique offers a promising solution for aortic root reconstruction, significantly reducing mortality and long-term complications in patients with annuloaortic ectasia, including those with Marfan syndrome.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Disease
Background:
- Annuloaortic ectasia and related aortic root diseases pose significant surgical challenges with historically high mortality rates.
- Marfan syndrome and ascending aortic dissection are key conditions requiring complex aortic root repair.
Purpose of the Study:
- To evaluate the safety and efficacy of aortic root reconstruction using the Carrel patch technique.
- To assess long-term outcomes and complication rates associated with this surgical approach.
Main Methods:
- Retrospective analysis of 47 consecutive patients undergoing aortic root reconstruction with the Carrel patch between 1991 and 1999.
- Inclusion of patients with diverse aortic root pathologies, including Marfan syndrome and acute dissections.
Main Results:
- Achieved a low overall surgical mortality of 2.1% (1 of 47 patients).
- Demonstrated high long-term efficacy with an 8-year survival rate of 97.8% and an 8-year cardiac-event-free rate of 88%.
- Reported no anastomotic complications during an average follow-up of 32.7 months.
Conclusions:
- Aortic root reconstruction with the Carrel patch is a feasible and effective surgical option for various aortic root diseases, including complex cases.
- The Carrel patch technique shows potential in preventing anastomotic pseudaneurysms and ensuring favorable long-term survival, even in Marfan syndrome patients.