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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 Aprile;41(2):255-8

lingua: Inglese

Redo Bentall operation for the aortitis syndrome

Furukawa K., Ohteki H., Ohnishi H., Narita Y.

From the Depart­ment of Car­di­o­vas­cular Sur­gery Saga Pre­fec­tural Hos­pital Koseikan, ­Saga, ­Japan


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The aor­titis syn­drome is a ­chronic inflam­ma­tory arte­rial dis­ease ­with an ­unknown eti­ology ­that may ­present as a ­variety of vas­cular ­lesions. The sur­gical treat­ment of aor­titis syn­drome is asso­ciated ­with ­many poten­tial dif­fi­cul­ties due to the inflam­ma­tory ­nature of the dis­ease. A ­patient ­with the aor­titis syn­drome under­went the Ben­tall oper­a­tion for ­annulo-­aortic ­ectasia and ­aortic regur­gi­ta­tion 11 ­years ­prior to pres­en­ta­tion. The oper­a­tion was not per­formed ­during the ­active inflam­ma­tory ­phase. An anas­to­motic dehis­cence ­required reop­er­a­tion, ­which was per­formed ­with ­Piehler’s ­method. In the aor­titis syn­drome, the exclu­sion tech­nique, ­Carrel ­patch ­repair of the cor­o­nary ­arteries and pled­geted anas­to­moses ­should be per­formed for ­aortic ­root recon­struc­tion.

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