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[Aneurysm of the ascending aorta with aortic valve insufficiency]
Insights
This study reports on nine patients requiring aortic valve and ascending aorta prostheses due to aneurysms and valve incompetence. Coronary artery reimplantation was necessary in five cases, highlighting complex surgical needs.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Disease
Background:
- Aneurysms of the ascending aorta often present with aortic valve incompetence.
- Complex cases may involve dissecting aneurysms and coronary artery origins.
- Surgical intervention is frequently required for these conditions.
Purpose of the Study:
- To report on surgical outcomes for patients with ascending aorta aneurysms and aortic valve incompetence.
- To detail the management of coronary artery involvement in these patients.
- To evaluate diagnostic and pre-operative assessment methods.
Main Methods:
- Retrospective case series of nine patients.
- Surgical implantation of aortic valve and ascending aorta prostheses.
- Diagnostic imaging included chest x-rays, kymograms, and CT scans.
- Pre-operative assessment utilized catheter angiography.
Main Results:
- Nine patients underwent implantation of aortic valve and aortic prostheses.
- Two patients had dissecting aneurysms.
- Five patients required coronary artery reimplantation into the prostheses.
- Catheter angiography proved crucial for assessing valve function and coronary origins.
Conclusions:
- Surgical management of ascending aorta aneurysms with aortic valve incompetence is feasible.
- Coronary artery reimplantation is a critical component in select cases.
- Comprehensive pre-operative imaging, particularly catheter angiography, is essential for surgical planning.
Abstract:
Nine cases are reported who had aneurysms of the ascending aorta and aortic valve incompetence and in whom aortic valve prostheses and aortic prostheses had to be implanted. Two patients had dissecting aneurysms. In five patients, the origins of the coronary arteries were involved, and these had to be implanted into the prostheses. Chest x-rays in two planes, kymograms and CT provided the diagnosis. The most important pre-operative examination in order to assess valve function and the origins of the coronary arteries is catheter angiography.