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Intravalvular implantation technique for aortic valve replacement in aortitis syndrome
- Source :
- The Annals of Thoracic Surgery. 67:89-92
- Publication Year :
- 1999
- Publisher :
- Elsevier BV, 1999.
-
Abstract
- Background . Paravalvular leakage is one of the most serious complications of aortic valve replacement in patients with aortitis syndrome. The purpose of this study was to compare the effectiveness of the intravalvular implantation technique in preventing paravalvular leakage with that of the conventional technique. Methods . Since 1982, 14 patients with aortic regurgitation caused by aortitis syndrome have undergone aortic valve replacement at our institute. An intravalvular implantation technique was applied in 7 of the 14 patients. The technique consists of suturing a prosthetic valve to the aortic annulus and sandwiching the leaflets between exogenous felt pledgets and the inflamed aortic annulus. Results . Paravalvular leakage occurred in 3 of 7 patients in the conventionally treated group and in none of 7 in the intravalvular implantation group. Conclusions . The intravalvular implantation technique is effective in preventing paravalvular leakage in patients with aortitis syndrome.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
Aortic valve
medicine.medical_specialty
medicine.medical_treatment
Regurgitation (circulation)
Prosthesis
Aortic valve replacement
Internal medicine
medicine
Humans
Cardiac skeleton
Aortitis
Heart Valve Prosthesis Implantation
Aortic Arch Syndromes
business.industry
Vascular disease
Middle Aged
medicine.disease
Surgery
Treatment Outcome
medicine.anatomical_structure
Aortic Valve
cardiovascular system
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Complication
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 67
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....4c8dc03344a70a4b352c3b0c9677c1b6
- Full Text :
- https://doi.org/10.1016/s0003-4975(98)01062-5