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Bad Aorta.
- Source :
- General Thoracic & Cardiovascular Surgery; May2014, Vol. 62 Issue 5, p273-281, 9p
- Publication Year :
- 2014
-
Abstract
- As its outcomes improve, cardiac surgery has been performed on more and more cases which were previously considered to be difficult to deal with. However, there are still a number of problems to be solved regarding surgery on patients with severe sclerotic lesions in the ascending aorta, which we collectively call 'bad aorta'. Concerning a preoperative assessment of the ascending aorta, our report revealed no relationship between the severity of calcification detected with a preoperative non-enhanced CT and the aortic lesion found during the surgery. Meanwhile, an intraoperative epiaortic ultrasound enables us to make high-quality evaluations of the aorta without imposing much burden on the patient. This modality may be essential for cardiac surgery. As for surgical management for bad aorta, quite a few methods have been reported to this point, but the overall operative mortality rate and cerebrovascular accident rate are relatively high, at a little <10 %, respectively. With the recent cross-clamping method under short-term total circulatory arrest (TCA), however, the results are much better; these rates total around 5 %. Further improvement is expected in the outcome of cardiac surgery on bad aorta cases by establishing a modality to evaluate sclerotic lesions in the ascending aorta with epiaortic ultrasound and by selecting a proper procedure for each case. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 18636705
- Volume :
- 62
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- General Thoracic & Cardiovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 95799048
- Full Text :
- https://doi.org/10.1007/s11748-014-0388-8