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[Annulo--aortic ectasia. Prognosis and treatment]
H Chaouch1, M L Slimane, K Ben Hamda
1Service de Cardiologie, Hôpital Habib Thameur, Montfleury, Tunis, Tunisie.
Annales De Cardiologie Et D'Angeiologie
|January 1, 1993
Summary
Ascending aortic aneurysms causing aortic insufficiency, often linked to Marfan syndrome, necessitate prompt surgical intervention. Surgical treatment demonstrated zero mortality, while non-surgical management resulted in a 100% mortality rate.
Area of Science:
- Cardiovascular Surgery
- Aortic Diseases
- Connective Tissue Disorders
Background:
- Ascending aortic aneurysms leading to aortic insufficiency present a significant clinical challenge.
- Marfan syndrome is a common predisposing factor, but idiopathic cases also occur.
Purpose of the Study:
- To evaluate the outcomes of surgical versus non-surgical management of ascending aortic aneurysms with aortic insufficiency.
- To assess the efficacy of different surgical techniques, including the Bentall procedure.
Main Methods:
- Retrospective analysis of nine patients with ascending aortic aneurysms and aortic insufficiency between 1975 and 1989.
- Surgical interventions included aortic valve replacement and composite grafts (Bentall technique).
Main Results:
- Five surgically treated patients experienced no mortality.
- Four untreated patients all died from aortic dissection or myocardial dysfunction.
- The modified Bentall technique showed favorable outcomes.
Conclusions:
- Early surgical intervention for ascending aortic aneurysms is crucial for improving survival.
- Prophylactic surgery is indicated for aneurysms reaching 6 cm.
- The modified Bentall technique is the preferred surgical approach.