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Aortic root replacement: results using the St. Jude Medical/Hemashield composite graft
L N Girardi1, N G Talwalkar, J S Coselli
1Department of Surgery, Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA.
The Annals of Thoracic Surgery
|November 14, 1997
Summary
Aortic root replacement using the St. Jude Medical/Hemashield composite valve conduit shows low mortality and complication rates in complex cases. This surgical technique is effective for aortic root reconstruction.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Medical Devices
Background:
- Aortic root replacement is a complex surgical procedure with ongoing debate regarding optimal reconstruction methods and materials.
- Despite advancements, achieving consensus on the best approach for aortic root replacement remains a challenge.
Purpose of the Study:
- To evaluate the outcomes of aortic root replacement using the St. Jude Medical/Hemashield composite valve conduit.
- To assess the safety and efficacy of this specific composite graft in complex aortic root reconstructions.
Main Methods:
- Retrospective review of 52 consecutive patients undergoing aortic root replacement between February 1994 and October 1996.
- Utilized both open/exclusion and Cabrol methods for aortic root reconstruction.
- Employed the St. Jude Medical/Hemashield composite valve conduit for all procedures.
Main Results:
- Low perioperative mortality rate of 3.8%, with deaths attributed to unrelated thoracoabdominal aneurysm complications.
- Low overall perioperative morbidity.
- Significant proportion of patients (31%) had prior aortic root procedures, and many (37%) required aortic arch replacement.
Conclusions:
- Meticulous surgical technique combined with the St. Jude Medical/Hemashield composite valve conduit yields favorable outcomes in complex aortic root reconstruction.
- The study demonstrates low mortality and complication rates, supporting the use of this composite graft.