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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...

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Autores principales: Tappainer, Ernesto, Fiorani, Vinicio, Nocchi, Andrea, Likaj, Ermal, Memishaj, Sabjan, Zogno, Mario
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
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.
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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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