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Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement
BACKGROUND: Techniques of reduction aortoplasty are widely published in the literature with conflicting results. External support seems to be an important factor in preventing recurrence but, in some cases, this technique caused erosion of the aorta because of the wrinkles the prosthesis creates in...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2007
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1819379/ https://www.ncbi.nlm.nih.gov/pubmed/17316443 http://dx.doi.org/10.1186/1749-8090-2-15 |
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author | Tappainer, Ernesto Fiorani, Vinicio Nocchi, Andrea Likaj, Ermal Memishaj, Sabjan Zogno, Mario |
author_facet | Tappainer, Ernesto Fiorani, Vinicio Nocchi, Andrea Likaj, Ermal Memishaj, Sabjan Zogno, Mario |
author_sort | Tappainer, Ernesto |
collection | PubMed |
description | BACKGROUND: Techniques of reduction aortoplasty are widely published in the literature with conflicting results. External support seems to be an important factor in preventing recurrence but, in some cases, this technique caused erosion of the aorta because of the wrinkles the prosthesis creates in the rear side of the aorta. CASE PRESENTATION: A 73 year old patient with aortic valve stenosis and borderline dilated ascending aorta had aortic valve replacement and simple wrapping without aortoplasty. To avoid the formation of wrinkles, the dacron external support was tailored appropriately to obtain a curved, custom-made prosthesis. This custom-made prosthesis had the same diameter as the dilated aorta and, after valve replacement, fitted it properly. After 18 months neither computerized axial tomography nor ecocardiography detected wrinkles or dilatation recurrence. CONCLUSION: A safe, simple and probably new way to prepare an external wrapping is presented, which in this patient respected the shape of the aorta and prevented the formation of wrinkles in the prosthesis and possible complications such as wall erosion. |
format | Text |
id | pubmed-1819379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-18193792007-03-09 Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement Tappainer, Ernesto Fiorani, Vinicio Nocchi, Andrea Likaj, Ermal Memishaj, Sabjan Zogno, Mario J Cardiothorac Surg Case Report BACKGROUND: Techniques of reduction aortoplasty are widely published in the literature with conflicting results. External support seems to be an important factor in preventing recurrence but, in some cases, this technique caused erosion of the aorta because of the wrinkles the prosthesis creates in the rear side of the aorta. CASE PRESENTATION: A 73 year old patient with aortic valve stenosis and borderline dilated ascending aorta had aortic valve replacement and simple wrapping without aortoplasty. To avoid the formation of wrinkles, the dacron external support was tailored appropriately to obtain a curved, custom-made prosthesis. This custom-made prosthesis had the same diameter as the dilated aorta and, after valve replacement, fitted it properly. After 18 months neither computerized axial tomography nor ecocardiography detected wrinkles or dilatation recurrence. CONCLUSION: A safe, simple and probably new way to prepare an external wrapping is presented, which in this patient respected the shape of the aorta and prevented the formation of wrinkles in the prosthesis and possible complications such as wall erosion. BioMed Central 2007-02-22 /pmc/articles/PMC1819379/ /pubmed/17316443 http://dx.doi.org/10.1186/1749-8090-2-15 Text en Copyright © 2007 Tappainer et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tappainer, Ernesto Fiorani, Vinicio Nocchi, Andrea Likaj, Ermal Memishaj, Sabjan Zogno, Mario Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title | Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title_full | Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title_fullStr | Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title_full_unstemmed | Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title_short | Safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
title_sort | safe wrapping of the borderline dilated ascending aorta during aortic valve replacement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1819379/ https://www.ncbi.nlm.nih.gov/pubmed/17316443 http://dx.doi.org/10.1186/1749-8090-2-15 |
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