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KMID : 0364019940270070581
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 7 p.581 ~ p.586
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Surgical Treatment of the Disease Involving Ascending Aorta
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백완기
김혁/서필원/유재현/박국양/이영탁/박표원/안혁/박영관
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Abstract
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From February 1985 to February 1993, 18 operations were performed in 17 patients for treatment of aneurysmal disease(n=12) and/or dissection of the ascending aorta(n=6). The ages ranged from 26 to 69 years(mean 44.3*11.0 years).
The proposed operations include composite graft replacement of aortic valve and ascending aorta with coronary reimplantation in 11, graft replacement of ascending aorta alone in 5, aortic valve replacement and supracoronary graft replacement in 1
and
ascending aorta to abdominal aorta bypass with thromboexclusion of descending aorta in one patient. Both Bentall(n=6) and Cabrol(n=5) technique were utilized for reimplantation of coronary arteries. Concomitant replacement of aortic arch and arch
vessel
reconstruction was necessary in two patients. Hypothermic circulatory arrest was utilized in 6 patients. Recently, four patients were managed on warm blood continuous cardioplegia via retrograde route.
There were no operative deaths. No significant postoperative complications were noted. Postoperative follow up was complete in 15 patients from 1 month to 72 months. Redo operation was necessary in one patient who had suffered from distal
recurrence of
dissection 5 years after successful Bentall operation. The other patients were all in excellent clinical condition.
From our early experience with those 17 cases, we assume that satisfactory operative result could be achieved with a variety of surgical techique including hypothermic circulatory arrest. In addition, continuous perfusion of warm blood
cardioplegia
via
retrograde route is supposed to be beneficial in selected cases. (Korean J Thoracic Cardiovas Surg 1994; 27:581-6)
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