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Related Experiment Videos

Aortic valve conservation in acute type A dissection

S Westaby1, T Katsumata, E Freitas

  • 1Department of Cardiac Surgery, Oxford Heart Centre, England.

The Annals of Thoracic Surgery
|November 14, 1997
PubMed
Summary

Gelatin-resorcinol-formol glue repair offers durable solutions for acute type A aortic dissection, preserving native aortic valves and demonstrating long-term stability in proximal aortic repairs.

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Area of Science:

  • Cardiovascular Surgery
  • Aortic Dissection Repair
  • Surgical Innovation

Background:

  • Operative survival is paramount in acute type A aortic dissection.
  • Conservation of the native aortic valve is achievable in most cases.
  • Investigating the long-term stability of proximal aortic repair using glue.

Purpose of the Study:

  • To determine if glue repair enhances the long-term stability of proximal aortic repair in acute type A dissection.
  • To evaluate the durability of native aortic valve conservation.

Main Methods:

  • Retrospective study of 64 patients with acute type A dissection, ascending aortic tear, and aortic regurgitation.
  • Native aortic valves repaired with gelatin-resorcinol-formol glue in patients without Marfan syndrome.

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  • Echocardiography and nuclear magnetic resonance imaging used for valve and root assessment.

    • Main Results:

    • Low operative mortality (6%) and low reoperation rate (3.3%) for aortic root.
    • Proximal repairs demonstrated long-term stability.
    • Aortic root reoperations were necessary within 3 years for a small subset of patients.

    Conclusions:

    • Native aortic valve conservation is feasible in the majority of patients.
    • Gelatin-resorcinol-formol glue repair provides durable results for proximal aortic repair.
    • Simple aortic root repair is associated with low operative mortality.