Successful Repair of Aortic Root and Aortic Valve Injury Caused by Blunt Chest Trauma in a Patient with Prior Aortic Dissection

CHEST Journal ◽  
1974 ◽  
Vol 66 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Joseph C. Cleveland ◽  
Richard J. Cleveland
2013 ◽  
Vol 42 (2) ◽  
pp. 159-162
Author(s):  
Hiroyuki Saisho ◽  
Satoru Tobinaga ◽  
Yuichiro Hirata ◽  
Kumiko Wada ◽  
Ryusuke Mori ◽  
...  

2006 ◽  
Vol 95 (12) ◽  
pp. 675-679 ◽  
Author(s):  
S. Asbach ◽  
M. P. Siegenthaler ◽  
F. Beyersdorf ◽  
C. Bode ◽  
Annette Geibel

1977 ◽  
Vol 73 (2) ◽  
pp. 208-211 ◽  
Author(s):  
Kelvin P. Charles ◽  
Kenneth G. Davidson ◽  
Hugh Miller ◽  
Philip K. Caves

Author(s):  
Mahmoud Alhussaini ◽  
Eric Jeng ◽  
Tomas Martin ◽  
Amber Filion ◽  
Thomas Beaver ◽  
...  

Objective: Valve-sparing root replacement is commonly used for management of aortic root aneurysms in elective setting, but its technical complexity hinders its broader adoption for acute Type-A Aortic Dissection (ATAAD). The Florida Sleeve (FS) procedure is a simplified form of valve sparing aortic root reconstruction that does not require coronary reimplantation. Here, we present our outcomes of the Florida Sleeve (FS) repair in patients with dilated roots in the setting of an ATAAD. Methods: We retrospectively reviewed 24 consecutive patients (2002-2018) treated with FS procedure for ATAAD. Demographic, operative, and postoperative outcomes were queried from our institutional database. Long term follow-up was obtained from clinic visits for local patients, and with telephone and telehealth measures otherwise. Results: Mean age was 49 ± 14 years with 19 (79%) males. Marfan syndrome was present in 4 (16.7%) patients and 14 (58.3) had ≥2+ aortic insufficiency (AI). Nine (37.2%) had preoperative mal-perfusion or shock. The FS was combined with hemi-arch replacement in 15 (62.5%) patients and a zone-2 arch replacement in 9 (37.5%) patients. There were 2 (8.3%) early postoperative mortalities. Median follow-up period was 46 months (range; 0.3-146). The median survival of the entire cohort was 143.4 months. One patient (4.2%) required redo aortic valve replacement for unrelated aortic valve endocarditis at 30 months postoperatively. Conclusion: FS is simplified and reproducible valve-sparing root repair. In appropriate patients, it can be applied safely in acute Stanford type-A aortic dissection with excellent early and long-term results.


Author(s):  
Minoru Ono ◽  
Kuniyoshi Yagyu ◽  
Akira Furuse ◽  
Yutaka Kotsuka ◽  
Hiroshi Kubota

2020 ◽  
Vol 29 (11) ◽  
pp. e279-e280
Author(s):  
Nunzio Davide de Manna ◽  
Stiljan Hoxha ◽  
Luca Felice Cerrito ◽  
Carletti Monica ◽  
Giuseppe Faggian ◽  
...  

2016 ◽  
Vol 43 (5) ◽  
pp. 446-452 ◽  
Author(s):  
Toshimitsu Tsugu ◽  
Mitsushige Murata ◽  
Keitaro Mahara ◽  
Shiro Iwanaga ◽  
Keiichi Fukuda

Aortic regurgitation resulting from blunt chest trauma has been reported only 95 times, to our knowledge. The noncoronary and right coronary cusps are the cardiac structures most often injured. Although the aortic leaflets can appear to be undamaged after nonpenetrating trauma, they can have pathologic abnormalities and insufficient function. Some cases of posttraumatic aortic regurgitation progress slowly. Aortic valve replacement is the optimal treatment. We present the case of a then-62-year-old man who has lived more than 5 years after blunt-trauma aortic regurgitation. His is the only case of long-term survival on medical therapy alone among the 96 cases summarized in this report.


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