Title Pirmosios aortos vožtuvą išsaugančios operacijos šalinant kylančios aortos aneurizmas Vilniaus universiteto Širdies chirurgijos centre /
Translation of Title First experience of aortic valve sparing procedures in patients with aneurysm of ascending aorta at Vilnius University Hospital Santariškių Klinikos Heart Surgery Center.
Authors Sirvydis, Vytautas-Jonas ; Raugelė, Saulius ; Grebelis, Arimantas ; Turkevičius, Gintaras ; Karalius, Rimantas ; Čypienė, Rasa Joana ; Semėnienė, Palmyra
DOI 10.15388/LietChirur.2007.4.2179
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Is Part of Lietuvos chirurgija. 2007, t. 5, nr. 4, p. 550-553.. ISSN 1392-0995
Abstract [eng] Background/objectives. The methods of modern cardiac surgery allow to perform a thoroughgoing treatment of ascending aorta aneurysm. Benthall and DeBono in 1968 were the first to describe the basic surgical technique; in 1992 David reported a novel surgical procedure aimed to spare the native aortic valve. The latter technique is superior because of permanent anticoagulation therapy exclusion, but also it is controversial in cases when ascending aorta aneurysm exceeds 55 mm, especially in patients with Marfan syndrome. We would like to introduce our first experience in treating ascending aorta aneurysm and sparing the aortic valve in patients with Marfan syndrome. Patients and methods. There were 4 successful cases of David I procedure during 1996–2006 at Vilnius University Hospital Santariðkiø Klinikos Heart Surgery Center. The patients were 2 male and 2 female, mean age 32.5 ± 5.7 years; all were of NYHA II functional class. Data were collected retrospectively from case histories. Results There were no deaths of any rhythm disturbances after surgery. The parameters of the ascending aorta and aortic root were significantly different as compared with preoperative data. Also, after surgery there were no aortic insufficiency or it was trivial. Conclusions. The aortic valve sparing procedure in patients with Marfan syndrome and ascending aorta aneurysm appears to be a safe method of treatment. According to the literature and our data, these operations are safe and effective when the aneurysm does exceed 55 mm and there is no aortic valve insufficiency.
Type Journal article
Language Lithuanian
Publication date 2007
CC license CC license description