Abstract
Aneurysm and dissention are the most common diseases affecting the ascending aorta. Graft replacement of the ascending aorta is a straightforward cardiovascular procedure with excellent early and late results. When aneurysm or dissection extends into the aortic sinuses or arch, management becomes more complex and may entail replacement of the aortic root, aortic valve, or a portion of the aortic arch using hypothermic circulatory arrest. The optimal root prosthesis depends on several patient- and procedure-related variables. Valve-sparing procedures confer many long- term advantages and should be considered in all cases where the aortic valve leaflets are normal. The Ross procedure, although ideally suited for isolated aortic valve disease in young patients, may be applicable to some patients with combined aortic valve and ascending aortic disease, unless there is evidence of a systemic connective tissue disorder.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 739-750 |
| Number of pages | 12 |
| Journal | Cardiology Clinics |
| Volume | 17 |
| Issue number | 4 |
| DOIs | |
| State | Published - 1999 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Surgical techniques : Ascending aorta. / Cameron, D. E.
In: Cardiology Clinics, Vol. 17, No. 4, 1999, p. 739-750.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical techniques
T2 - Ascending aorta
AU - Cameron, D. E.
PY - 1999
Y1 - 1999
N2 - Aneurysm and dissention are the most common diseases affecting the ascending aorta. Graft replacement of the ascending aorta is a straightforward cardiovascular procedure with excellent early and late results. When aneurysm or dissection extends into the aortic sinuses or arch, management becomes more complex and may entail replacement of the aortic root, aortic valve, or a portion of the aortic arch using hypothermic circulatory arrest. The optimal root prosthesis depends on several patient- and procedure-related variables. Valve-sparing procedures confer many long- term advantages and should be considered in all cases where the aortic valve leaflets are normal. The Ross procedure, although ideally suited for isolated aortic valve disease in young patients, may be applicable to some patients with combined aortic valve and ascending aortic disease, unless there is evidence of a systemic connective tissue disorder.
AB - Aneurysm and dissention are the most common diseases affecting the ascending aorta. Graft replacement of the ascending aorta is a straightforward cardiovascular procedure with excellent early and late results. When aneurysm or dissection extends into the aortic sinuses or arch, management becomes more complex and may entail replacement of the aortic root, aortic valve, or a portion of the aortic arch using hypothermic circulatory arrest. The optimal root prosthesis depends on several patient- and procedure-related variables. Valve-sparing procedures confer many long- term advantages and should be considered in all cases where the aortic valve leaflets are normal. The Ross procedure, although ideally suited for isolated aortic valve disease in young patients, may be applicable to some patients with combined aortic valve and ascending aortic disease, unless there is evidence of a systemic connective tissue disorder.
UR - http://www.scopus.com/inward/record.url?scp=0032751329&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032751329&partnerID=8YFLogxK
U2 - 10.1016/S0733-8651(05)70111-9
DO - 10.1016/S0733-8651(05)70111-9
M3 - Article
C2 - 10589342
AN - SCOPUS:0032751329
VL - 17
SP - 739
EP - 750
JO - Cardiology Clinics
JF - Cardiology Clinics
SN - 0733-8651
IS - 4
ER -