tailieunhanh - Báo cáo y học: "An alternate solution for the treatment of ascending aortic aneurysms: the wrapping technique"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: An alternate solution for the treatment of ascending aortic aneurysms: the wrapping technique. | Tagarakis et al. Journal of Cardiothoracic Surgery 2010 5 100 http content 5 1 100 JOTS JOURNAL OF CARDIOTHORACIC SURGERY LETTERS TO THE EDITOR Open Access An alternate solution for the treatment of ascending aortic aneurysms the wrapping technique 1 1 1 1 1 Georgios I Tagarakis Dimos Karangelis Andony J Baddour Marios E Daskalopoulos Vassilios T Liouras Dimitrios Papadopoulos2 Konstantinos Stamoulis2 Stefania S Lampoura1 Nikolaos B Tsilimingas1 Abstract Background The aortic Dacron wrapping technique is a surgical technique used under certain circumstances in cases of ascending aorta dilatation. Herein we are presenting our experience on the method performed on multimorbid patients who denied major aortic surgery. Methods We included in our series 7 patients 5 male-2 female with mild to moderate ascending aortic dilatation who were operated with the wrapping technique. One patient was submitted to biological aortic valve replacement during the same procedure. The number of conventionally operated patients during the same period 2 years was 21. Results Mortality during the 18-months follow-up control was 0 . One patient had to be operated with biological aortic valve replacement 18 months after the initial wrapping operation although the diameter of her ascending aorta remained stable. Conclusions The Dacron wrapping technique is a method that can alternatively be used in multimorbid patients with mild to moderate ascending aortic dilatation without dissecting elements and has generally good results. Letter to the Editor Dear Editor Even in the current time of advanced surgical procedures and endovascular alternative techniques for the treatment of aortic pathologies ascending aortic aneurysms remain a challenging problem for every cardiac surgeon. This is why our utmost interest was focused on the article recently published in your esteemed journal by Ang et al 1 it dealt with the interesting topic of ascending aortic wrapping in .