Long-term results of the surgical treatment of aneurysm of the ascending aorta in combination with aortic valve insufficiency
Tsukerman, G.I.; Malashenkov, A.I.; Gaprindashvili, T.V.; Movsesian, R.A.; Babichev, A.S.
Grudnaia Khirurgiia 1: 24-29
1989
ISSN/ISBN: 0017-4866 PMID: 2925103 Document Number: 337593
Four of 28 patients who were operated on died in late-term periods, four from advancing cardiac failure and one died 5 years after an operation from cardiac tamponade. In the group of four patients one underwent Cabrol's operation, three were operated on by the Bentall-De Bono method. The condition of 25 patients considerably improved and they were related to the II and I functional classes. The result was poor in three patients due to initial severity of the process in one, dilatation of the arch of the aorta in another, the presence of a fistula in the distal anastomosis in the third. One patient treated by Cabrol's operation and another who was operated on by the Bentall-De Bono method had pseudoaneurysms in the orifices of the coronary arteries. Despite some complications which occurred in the late postoperative periods, the Cabrol and Bentall-De Bono operations are the most radical means today for surgical treatment of aneurysms of the ascending aorta.