PURPOSE:Aortoplasty is a feasible alternative for the correction of ascending aorta dilation or aneurysm. It is a less radical technique compared to classic aortic replacement surgery and offers various advantages.
METHODS:From March 2003 until March 2008, 24 patients underwent reduction aortoplasty surgery for the correction of aneurysmatic dilation of the ascending aorta without reinforcement of the aortic wall with vascular prosthesis.Twelve of these patients underwent combined aortic valve replacement surgery, three patients combined CABG and one patient combined mitral valve repair.Patients ranged from 60 years of age to 80.preoperative assessment involved TOE and thoracic CT.
RESULTS:Five year follow up revealed a survival rate greater than 80% (20 patients in good health, one patient was lost on the 6th postoperative day whilst three other patients could not be traced for follow up). Reduction of the ascending aorta diameter achieved was in the range of 20–30 mm as was exhibited via comparison of preoperative and follow up CT scans.The 20 patients showed no redilation of the ascending aorta within this five year follow up period.
CONCLUSION:Our results indicate that ascending aorta aortoplasty can safely reduce ascending aorta diameter to within the normal range with very low morbidity and mortality rates in comparison to the classic methods of aortic replacement and aotrtoplasty with aortic wall reinforcement using vascular prosthesis.
CLINICAL IMPLICATIONS:Ascending aorta aortoplasty offers a safer modality of therapy of ascending aortic dilation in comparison to the classic methods used to date and should be considered as a viable alternative to these methods.
DISCLOSURE:Gavriel Kaoutzanis, No Financial Disclosure Information; No Product/Research Disclosure Information