Mid- and long-term clinical efficacy of ascending aortic wrapping in adult patients undergoing aortic valve replacement
- VernacularTitle:外包裹法升主动脉成形术中远期临床效果分析
- Author:
Xiaohui ZHOU
1
;
Hansong SUN
1
;
Shuiyun WANG
1
;
Shaoxian GUO
1
;
Liqing WANG
1
Author Information
1. Department of Adult Surgery, National Center for Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China
- Publication Type:Journal Article
- Keywords:
Aortic valve replacement;
ascending aortoplasty;
ascending aortic dilatation;
aortic wrapping
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(07):983-900
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess mid- and long-term outcomes of ascending aortic wrapping (AAW) in adult patients undergoing aortic valve replacement (AVR). Methods We retrospectively analyzed clinical data of adult patients who underwent AVR and AAW in Fuwai Hospital from January 2010 to August 2019. Ascending aorta diameter (AAD) was measured by echocardiography or CT scan preoperatively and postoperatively. Results A total of 33 patients were enrolled, including 23 males and 10 females aged 22-73 (51.06±12.61) years. There was no perioperative death. The mean preoperative, postoperative and follow-up AAD of the patients were (46.06±3.54) mm, (34.55±5.17) mm, and (37.12±5.64) mm, respectively. The differences in the AAD between pre-operation and post-operation, and between pre-operation and the last follow-up were both statistically significant (P<0.05). The median follow-up time was 38.20 (18.80-140.30) months. The median increase rate of diameter was 0.63 (−0.11, 1.36) mm per year after the surgery. The increase rate was >5 mm per year in 1 patient, and >3 mm in another one. Conclusion The mid- and long-term outcomes of AAW in adult patients undergoing AVR are satisfactory and encouraging.
