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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers, Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-9767773 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Thieme Medical Publishers, Inc. |
record_format | MEDLINE/PubMed |
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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