CONCOMITANT ASCENDING AORTIC REPLACEMENT AND AORTIC VALVE REPLACEMENT USING RAPID DEPLOYMENT BIOPROSTHESIS

Authors

  • Ricardo Ferreira Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Nadia Junqueira Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Ricardo Arruda Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal
  • Ângelo Nobre Cardiothoracic Surgery Department, Santa Maria Hospital, Lisbon, Portugal

DOI:

https://doi.org/10.48729/pjctvs.102

Abstract

Introduction: The association between aortic valve disease and dilatation of the ascending aorta is well known and concomitant surgery is recommended when the aortic diameter is higher than 45mm. The use of the rapid deployment valves allows less cross-clamping and cardiopulmonary bypass times for both isolated and combined procedures in comparison to regular valves. We describe our initial experience of concomitant aortic valve and the ascending aortic replacement, using the rapid deployment valve Edward Intuity EliteTM.

Case presentation: All patients were male, with a mean age of 72-years-old. The mean cross-clamping time was 48 minutes, with a mean cardiopulmonary time of 61 minutes. The mean time of ICU stay was 4 days. All the patients had follow-up 1 and 3 months after discharge and were doing well.

Conclusions: The rapid deployment aortic valves have recognized advantages in aortic valve replacement. Our small experience reinforces that replacement the ascending aortic and aortic valve with this prothesis is one procedure that can benefits from generalization without increased risks and with potentially better clinical outcomes. Larger cohort studies would allow clarification over this subject.

Downloads

Download data is not yet available.

References

Lee, S. H., Kim, J. B., Kim, D. H., Jung, S. H., Choo, S. J., Chung, C. H., & Lee, J. W. (2013). Management of dilated ascending aorta during aortic valve replacement: Valve replacement alone versus aorta wrapping versus aorta replacement. Journal of Thoracic and Cardiovascular Surgery, 146(4), 802–809.

Borger, M. A., Preston, M., Ivanov, J., Fedak, P. W. M., Davierwala, P., Armstrong, S., & David, T. E. (2004). Should the ascending aorta be replaced more frequently in patients with bicuspid aortic valve disease? Journal of Thoracic and Cardiovascular Surgery, 128(5), 677–683.

Erbel R., Aboyans V., Boileau C., Bossone E., Bartolomeo R., Eggebrecht H., … Vrints C. (2014). 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. European Heart Journal (2014) 35, 2903.

Gersak, B., Fischlein, T., Folliguet, T. A., Meuris, B., Teoh, K. H. T., Moten, S. C., … Glauber, M. (2016). Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: Recommendations of an international expert consensus panel. European Journal of Cardio-Thoracic Surgery, 49(3), 709–718.

Silva, I. A., Corso, R. B., Santos, M. V. N., Souza, H. J. B. de, & Pina, G. K. S. (2019). First Two Brazilian Cases: Correction of Ascending Aortic Aneurysm and Aortic Valve Stenosis with Sutureless/Rapid Deployment Aortic Prosthesis. Brazilian Journal of Cardiovascular Surgery, 34(3), 2018–2019.

Lio, A., Ferrarini, M., Miceli, A., & Glauber, M. (2018). Sutureless Prosthesis Implantation and Ascending Aorta Replacement Through a Ministernotomy Approach. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 13(3), 239–241.

Gennari, M., Agrifoglio, M., & Polvani, G. (2017). Composite graft using an Edwards Intuity Elite rapid deployment bioprosthesis for aortic root replacement. Journal of Cardiac Surgery, 32(3), 193–195.

Downloads

Published

30-04-2021

How to Cite

1.
Ferreira R, Junqueira N, Arruda R, Nobre Ângelo. CONCOMITANT ASCENDING AORTIC REPLACEMENT AND AORTIC VALVE REPLACEMENT USING RAPID DEPLOYMENT BIOPROSTHESIS. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 Apr. 30 [cited 2022 Dec. 8];26(3):195-7. Available from: https://pjctvs.com/index.php/journal/article/view/102

Issue

Section

Original Articles

Most read articles by the same author(s)

1 2 > >>