The short-term effect of aortic sinoplasty on repairing aortic roots of patients with acute type A aortic dissection
- VernacularTitle:主动脉窦成形术修复急性 Stanford A 型主动脉夹层受累根部的近期效果
- Author:
Yi CHANG
1
;
Xiangyang QIAN
1
;
Hongwei GUO
1
;
Yizhen WEI
1
;
Yi SHI
1
Author Information
1. Department of Vascular Surgery, Fu Wai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, 100037, P.R.China
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
aortic root repair;
ascending aorta replacement;
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(12):1441-1446
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility, effectiveness and durability of aortic sinoplasty in repairing aortic roots of patients with acute type A aortic dissection. Methods From January 2014 to July 2017, 43 consecutive patients with acute type A aortic dissection underwent aortic sinoplasty to repair aortic root in our institution, including 34 males and 9 females, aged 32-65 (50.1±8.1) years. The perioperative and follow-up data were retrospectively analyzed, and statistical analysis on the preoperative, postoperative and follow-up ultrasound indicators was performed. Results Thirty-day mortality was 4.7%. Preoperative aortic regurgitation was corrected and false lumen was eliminated immediately after operation in all patients. There was no late death, or aortic root or valve re-intervention and two patients were lost during a follow-up of 18-45 (27.9±6.7) months. There was no residual dissection found. No patients had significant dilation of aortic root. No statistically significant difference was found when comparing the maximum of root diameter and aortic regurgitation grade between at discharge and follow-up. Conclusion Aortic sinoplasty for aortic root repair in acute type A aortic dissection is a simple and reliable technique and demonstrates excellent early outcomes.
