Enlargement of the aortic root during aortic valve replacement at Hanoi Heart Hospital

  • Hien Nguyen Sinh Hanoi Heart Hospital
  • Thien Le Quang Hanoi Heart Hospital

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Keywords

Aortic root enlargement, prosthesis - patient mismatch

Abstract

Objective: This study was undertaken to evaluate safety, effect and risks of Aortic root enlargement (ARE) technique. Subject and method: A retrospective study with 12 cases of aortic root enlargement operated from September 2015 to January 2018 at Hanoi Heart Hospital. Result: 12 cases aortic root enlargement/ 536 cases within aortic replacement - 2.2%. The mean age 55.4 ± 17.9, female / male 3 / 1. Mean aortic clamp time 98 ± 14.9 minutes, mean cardiopulmonary bypass time 121 ± 10.9 minutes. Manouguian technique 100%. The first six hour bleeding 226.3 ± 135.5ml. Postoperative aortic transvalvular pressure gradients (peak / mean) were 26 ± 7.4/ 15.6 ± 4.6mmHg. No case of re-operation for bleeding. No severe complicated case. Conclusion: The ARE is a safe and feasible procedure to the patients with small aortic root undergoing aortic valve replacement (AVR).


 

Article Details

References

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Published
Nov 29, 2020
Issue
Volume 13 - No 6/2018
Section
Articles
How to Cite
Nguyen SinhH., & Le QuangT. (2020). Enlargement of the aortic root during aortic valve replacement at Hanoi Heart Hospital. Tạp Chí Y Dược lâm sàng 108, 13(6), 109-115. Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/357