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Review
. 2017 May;9(Suppl 6):S448-S453.
doi: 10.21037/jtd.2017.05.01.

Ascending aorta reinterventions

Affiliations
Review

Ascending aorta reinterventions

Jacobo Silva Guisasola et al. J Thorac Dis. 2017 May.

Abstract

Ascending aorta reinterventions present a challenge for surgeons as the technical difficulties of the procedure and the complex strategic approach can complicate successful treatment. These patients should be treated by surgical teams with ample experience in aortic diseases as they can be at high risk of mortality. The number of interventions on the ascending aorta and aortic arch and the use of biological conducts (lung autograft, homograft, etc.) have increased in recent years; therefore, the number of reinterventions can also be expected to increase, representing 10% of aortic surgical procedures. This article reviews the current status of ascending aorta reinterventions, analyzing the principal aspects of indication and surgical strategy, as well as the results published in the largest studies.

Keywords: Ascending aorta reinterventions.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Ascending aorta reoperation of a degenerated xenograft.
Figure 2
Figure 2
Cabrol technique in ascending aorta reoperation.

References

    1. Russo CF, Mazzetti S, Garatti A, et al. Aortic complications after bicuspid aortic valve replacement: long-term results. Ann Thorac Surg 2002;74:S1773-6; discussion S1792-9. - PubMed
    1. Pieters FA, Widdershoven JW, Gerardy AC, et al. Risk of aortic dissection after aortic valve replacement. Am J Cardiol 1993;72:1043-7. 10.1016/0002-9149(93)90860-F - DOI - PubMed
    1. Borger MA, Preston M, Ivanov J, et al. Should the ascending aorta be replaced more frequently in patients with bicuspid aortic valve disease? J Thorac Cardiovasc Surg 2004;128:677-83. 10.1016/j.jtcvs.2004.07.009 - DOI - PubMed
    1. Dossche KM, Tan ME, Schepens MA, et al. Twenty-four year experience with reoperations after ascending aortic or aortic root replacement. Eur J Cardiothorac Surg 1999;16:607-12. 10.1016/S1010-7940(99)00326-7 - DOI - PubMed
    1. Dougenis D, Daily BB, Kouchoukos NT. Reoperations on the aortic root and ascending aorta. Ann Thorac Surg 1997;64:986-92. 10.1016/S0003-4975(97)00626-7 - DOI - PubMed

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