One-stage ascending-to-abdominal aortic bypass with concomitant aortic valve procedures for aortic coarctation combined with aortic valve pathology in adult patients
10.3760/cma.j.issn.1001-4497.2018.08.010
- VernacularTitle:成人主动脉瓣病变合并主动脉缩窄一期畸形纠正手术
- Author:
Jinhua LI
1
;
Jiang DAI
;
Changwei REN
;
Bo HAN
;
Yongqiang LAI
Author Information
1. 100029,北京市心肺血管疾病研究所首都医科大学附属北京安贞医院心脏外科中心
- Keywords:
Aortic valve pathology;
Ascending-to-abdominal aortic bypass;
Severe aortic coarctation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(8):484-486
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to evaluate the results of one-stage ascending-to abdominal aortic bypass and aortic valve replacement for concomitant aortic coarctation with aortic valve pathology.Methods From June 2009 to March 2017,28 consecutive adult patients(23males and 5 females) with aortic coarctation combined with aortic valve pathology underwent one-stage ascending-to-abdominal aorta bypass and aortic valve replacement or a Bentall procedure.Age 19-59,mean age (33.6 ± 11.6) years;1 case of coronary heart disease and 12 cases of aortic root tumor.Results All patients successfully underwent the one-stage procedure.The mean aortic cross-clamp and cardiopulmonary bypass times were (71 ± 23) and (113 ±37) mins respectively.The average post-operative hospital stay was(15.9 ± 4.9) days and the average operation time was (5.2 ± 4.0)h.Systolic blood pressure decreased from (158 ± 36)mmHg(1 mmHg =0.133 kPa) pre-operatively to(121 ± 18)mmHg post-operatively.After the operation,follow-up 3-96 months,No deaths or significant gradients between the upper and lower extremities occurred during follow-up.Conclusion Ascending-to-abdominal aortic bypass and concomitant aortic valve procedures are a suitable therapeutic option for severe aortic coarctation combined with aortic valve pathology in adult patients.
