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An evaluation of cases carried out by both root reconstruction using carrel patch method and concomitant procedure

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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.

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References

  1. Bentall H, DeBono A: A technique for complete replacement of ascending aorta. Thorax 23: 338–339, 1968

    Article  PubMed  CAS  Google Scholar 

  2. Bentall, Bentall. 48: 929–932, 1995

  3. Crawford ES, Coselli JS, Safi HJ, Yawn DH: Recent advances in management of complex aortic aneurysms. In: Arterial Surgery New Diagnostic and operative Techniques. et by Bergan JJ, Yao JST, Orland, 1988, Grune & Stratton, p299–322

    Google Scholar 

  4. Kouchoukos NT, Marshall WG Jr, Wedige Stecher TA: Eleven-year experience with composite graft replacement of the ascending aorta and aortic valve. J Thorac Cardiovasc Surg 92: 691–705, 1986

    PubMed  CAS  Google Scholar 

  5. Cabrol C, Pavie A, Gandjbakhch I, Villemot JP, Guiraudon G, Laughlin L, Etievent Ph, Cham B: Complete replacement of the ascending aorta with reimplantation of the coronary arteries. New surgical approach. J Thorac Cardiovasc Surg 81: 309–315, 1981

    PubMed  CAS  Google Scholar 

  6. Pihler JM, Pluth JR: Replacement of the ascending aorta and aortic valve with composite graft in patients with nondisplaced coronary ostia. Ann Thorac Surg 33: 406–409, 1981

    Article  Google Scholar 

  7. 44: 623–628, 1991

  8. Interposition Graft 44: 636–640, 1991

  9. Cabrol 44: 629–635, 1991

  10. Bentall 48: 87–91, 1995

  11. Inclusion Techinique Carrel patch. 40: 1056–1061, 1987

  12. Inberg MV, Niinikosko J, Savunen T, Vänttinen E: Total repair of Annulo-Aortic Ectasia with composite graft and reimplantation of coronary ostia. A consecutive series of 41 patients. World J Surg 9: 493–499, 1985

    Article  PubMed  CAS  Google Scholar 

  13. Carrel Patch 49: 452–455, 1996

  14. Bentall. 17: 302–305, 1987

  15. 43: 1600–1604, 1995

  16. 48: 666–670, 1995

  17. Teoh KH, Christakis GT, Weisel RD: Accelerated myocardial metabolic recovery with terminal warm blood cardioplegia. J Thorac Cardiovasc Surg 91: 888–895, 1986

    PubMed  CAS  Google Scholar 

  18. 43: 1605–1610, 1995

  19. Annuloaortic Ectasia 45: 1133–1137, 1992

  20. A. 50: 469–474, 1997

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kumamoto Central Hospital, Kumamoto, Japan

    Satoshi Yamashiro, Ryuzo Sakata, Yoshihiro Nakayama, Masashi Ura, Katsuhito Mabuni, Yoshio Arai & Akihiro Sugimoto

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  1. Satoshi Yamashiro
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  2. Ryuzo Sakata
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  3. Yoshihiro Nakayama
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  4. Masashi Ura
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  5. Katsuhito Mabuni
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  6. Yoshio Arai
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  7. Akihiro Sugimoto
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Yamashiro, S., Sakata, R., Nakayama, Y. et al. An evaluation of cases carried out by both root reconstruction using carrel patch method and concomitant procedure. Jpn J Thorac Caridovasc Surg 46, 707–711 (1998). https://doi.org/10.1007/BF03217806

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  • DOI: https://doi.org/10.1007/BF03217806

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