This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Tatsuhiko Komiya Genichi Sakaguchi Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Komiya, T. Articles by Kobayashi, T. Search for Related Content PubMed PubMed Citation Articles by Komiya, T. Articles by Kobayashi, T. Related Collections Related Article

Modified partial aortic root remodeling in acute type A aortic dissection

Department of Cardiovascular Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki City, Okayama, 710-8602, Japan

*Corresponding author. Tel.: +81-86-422-0210; fax: +81-86-421-3424.

E-mail address: komiya{at}kchnet.or.jp (T. Komiya).

Emergency surgery for acute type A dissection is extremely difficult when the sinuses of Valsalva are widely dissected. Indications for the various proposed surgical approaches are controversial. Here, we describe modified partial aortic root remodeling to overcome bleeding. We retrospectively reviewed 13 consecutive patients who underwent the following operative procedure. We did not resect the sinus but sutured a U-shaped Dacron patch to the inside of the sinus to reinforce the dissected weakened wall. The indications for reconstruction of the aortic root with this technique are extension of an intimal tear into a sinus, a fully dissected sinus as far as the level of the aortic annulus or mild annuloaortic ectasia. One patient died of multiorgan failure. No patient had more than mild aortic regurgitation. Mean follow-up duration was 22 months and there was no late death. Two patients underwent repeated surgery due to graft infection and redissection. Our modified partial aortic root remodeling technique might be a useful surgical procedure if one or two Valsalva sinuses are affected in type A acute aortic dissection.

Key Words: Aortic dissection; Valve-sparing; Sinus of Valsalva; Annuloaortic ectasia

Related Article

eComment: Safety and effectiveness of partial aortic root remodeling

Giovanni Dialetto, Alessandro Della Corte, Vincenzo De Simone, and Sabrina Manduca
Interactive CardioVascular and Thoracic Surgery 2009 8: 309. [Full Text] [PDF]

This article has been cited by other articles:

				G. Dialetto, A. Della Corte, V. De Simone, and S. Manduca eComment: Safety and effectiveness of partial aortic root remodeling Interactive CardioVascular and Thoracic Surgery, March 1, 2009; 8(3): 309 - 309. [Full Text] [PDF]