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Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience

Background  Different techniques for aortic root enlargement (ARE) have been reported in the literature. Each technique comes with its own advantages and disadvantages. We report our outcomes of Nick's technique for ARE. Methods  A single-center retrospective data analysis of 31 patients was pe...

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Autores principales: Ashry, Amr, Iddawela, Sashini, Mishra, Vaibhav, Wang, William, Mohammed, Heba M., Harky, Amer, Mostafa, Mohammed M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767773/
https://www.ncbi.nlm.nih.gov/pubmed/36539144
http://dx.doi.org/10.1055/s-0042-1757800
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author Ashry, Amr
Iddawela, Sashini
Mishra, Vaibhav
Wang, William
Mohammed, Heba M.
Harky, Amer
Mostafa, Mohammed M.
author_facet Ashry, Amr
Iddawela, Sashini
Mishra, Vaibhav
Wang, William
Mohammed, Heba M.
Harky, Amer
Mostafa, Mohammed M.
author_sort Ashry, Amr
collection PubMed
description Background  Different techniques for aortic root enlargement (ARE) have been reported in the literature. Each technique comes with its own advantages and disadvantages. We report our outcomes of Nick's technique for ARE. Methods  A single-center retrospective data analysis of 31 patients was performed. Patients were operated between May 2015 and November 2017 at Assuit University Heart Hospital, Assuit, Egypt. Results  The median cardiopulmonary bypass time was 125 minutes (range: 90.0–160.0 minutes), with 90 minutes of cross-clamp (range: 60.0–110.0 minutes). Altogether 59% of the patients had mixed aortic valve diseases. Median intensive care unit and total hospital stay were 2 and 5 days, respectively. Patient-prosthesis mismatch was reported in one patient only (3.25%). Two patients died within 30 days. Median pressure gradient across the aortic valve was 20 mm Hg at 3 years of follow-up. Conclusion  The benefits of Nick's technique for ARE can be demonstrated in populations with younger patients and complicated pathology. Further research is required in larger patient populations.
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spelling pubmed-97677732022-12-21 Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience Ashry, Amr Iddawela, Sashini Mishra, Vaibhav Wang, William Mohammed, Heba M. Harky, Amer Mostafa, Mohammed M. Aorta (Stamford) Background  Different techniques for aortic root enlargement (ARE) have been reported in the literature. Each technique comes with its own advantages and disadvantages. We report our outcomes of Nick's technique for ARE. Methods  A single-center retrospective data analysis of 31 patients was performed. Patients were operated between May 2015 and November 2017 at Assuit University Heart Hospital, Assuit, Egypt. Results  The median cardiopulmonary bypass time was 125 minutes (range: 90.0–160.0 minutes), with 90 minutes of cross-clamp (range: 60.0–110.0 minutes). Altogether 59% of the patients had mixed aortic valve diseases. Median intensive care unit and total hospital stay were 2 and 5 days, respectively. Patient-prosthesis mismatch was reported in one patient only (3.25%). Two patients died within 30 days. Median pressure gradient across the aortic valve was 20 mm Hg at 3 years of follow-up. Conclusion  The benefits of Nick's technique for ARE can be demonstrated in populations with younger patients and complicated pathology. Further research is required in larger patient populations. Thieme Medical Publishers, Inc. 2022-12-20 /pmc/articles/PMC9767773/ /pubmed/36539144 http://dx.doi.org/10.1055/s-0042-1757800 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Ashry, Amr
Iddawela, Sashini
Mishra, Vaibhav
Wang, William
Mohammed, Heba M.
Harky, Amer
Mostafa, Mohammed M.
Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title_full Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title_fullStr Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title_full_unstemmed Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title_short Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience
title_sort outcomes post-nick's aortic root enlargement technique: single-center experience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767773/
https://www.ncbi.nlm.nih.gov/pubmed/36539144
http://dx.doi.org/10.1055/s-0042-1757800
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