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  • Title: Surgical results of composite graft replacement of the aortic root aneurysm.
    Author: Yamashita C, Ataka K, Yoshida M, Tsuji Y, Yamashita T, Nakagiri K, Wakiyama H, Inoue K, Okada M.
    Journal: Ann Thorac Cardiovasc Surg; 1998 Apr; 4(2):78-82. PubMed ID: 9577002.
    Abstract:
    From 1986 to 1996, 20 patients underwent aortic root replacement. All of the patients had annulo aortic ectasia (AAE); Six had DeBakey type I aortic dissection, three were acute dissections associated with Marfan's syndrome; three had previously undergone the Koster-Collins operation. During 11 years, the original Bentall procedure (1986-91), the Cabrol procedure (1991-), and the modified Bentall procedure (Carrel patch or Piehler technique) were performed. There was only 1 hospital mortality (5.0%). Four patients died during the follow-up period (mediastinitis, myocardial infarction, cerebral bleeding, and rupture of the arch aneurysm). Only 2 patients required reoperation (repair of a pseudoaneurysm of the right coronary artery and paravalvular leakage of the aortic valve replacement). The satisfactory outcomes were the result of the full-thickness anastomoses performed during coronary artery reconstruction.
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