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[An evaluation of cases carried out by both root reconstruction using Carrel patch method and concomitant procedure]
S Yamashiro1, R Sakata, Y Nakayama
1Department of Cardiovascular Surgery, Kumamoto Central Hospital, Japan.
Insights
Aortic root reconstruction using the Carrel patch method is safe and effective, even with concomitant cardiovascular procedures. This technique shows few complications, offering a reliable surgical option for complex cases.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Surgical Techniques
Context:
- Aortic root reconstruction is a critical procedure for various cardiovascular diseases.
- The Carrel patch method is a recognized technique for aortic root repair.
- Evaluating the safety and efficacy of this method, especially with additional procedures, is essential.
Purpose:
- To assess the outcomes and complication rates of aortic root reconstruction using the Carrel patch method.
- To compare results between simple root reconstruction and cases involving concomitant cardiovascular procedures.
- To determine the safety and feasibility of performing aortic root reconstruction with additional cardiac surgeries.
Summary:
- A 7-year study (1991-1997) analyzed 31 aortic root reconstructions via the Carrel patch method.
- Nine cases involved concomitant procedures for conditions like ischemic heart disease and mitral regurgitation.
- Operative results showed no significant differences between simple and complex cases, indicating safety.
Impact:
- The Carrel patch method for aortic root reconstruction demonstrates a low complication rate.
- This technique is deemed safe for patients requiring concurrent cardiovascular surgeries.
- Findings support the use of the Carrel patch method in complex aortic root reconstructions, though long-term follow-up is recommended.
Abstract:
During the past 7 years from January 1991 to November 1997, we experienced 31 cases of aortic root reconstruction utilizing Carrel patch method. Concomitant procedure were performed in 9 cases of them due to another cardiovascular disease. Complicated cardiovascular disease included 3 cases of ischemic heart disease, 3 cases mitral regurgitation and one case of Aortic arch aneurysm. Several concomitant procedures were performed; 5 cases of CABG, 2 cases of mitral annuloplasty, one case of CABG with mitral valve replacement and one case of aortic arch replacement. The mean extra corporeal circulation time was 190.6 +/- 39.3 minutes and aortic clamp time was 147.8 +/- 34.2 minutes in these 9 cases. There were no significant differences of operative results between the simple root reconstruction group and the concomitant procedure group. We concluded that the aortic root reconstruction using the Carrel patch method has few complications. Although further long-term follow-up is required, our experiences suggest that the aortic root reconstruction with the concomitant procedure can be carry out safely with the aid of appropriate assistance method.