Aortic Root Surgery: A single center experience

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Author Info

Hassan K. Reda Max Shrout Sibu P. Saha

Corresponding Author

Max Shrout
Division of Cardiothoracic Surgery, University of Kentucky College of Medicine, 800 Rose Street, Lexington, KY 40536

A B S T R A C T

Background Aortic root surgery varies widely in techniques and from institution to institution. Success requires precision and superb post-operative care. The purpose of this study was to evaluate the indications and outcomes of this procedure at a single small volume academic medical center. Methods The study was carried out with IRB approval, consisting of 99 patients undergoing aortic root surgery from January 2013 to June 2015. 45 underwent procedures for aneurysm, 11 for infective native valve endocarditis, 16 for prosthetic valve endocarditis, 21 for aortic root dissection, and 14 for other etiologies. The procedures were performed using homograft (10), composite (8), or biologic (81) valves. 28 of the operations included a second procedure, and 39 of the operations were redo procedures. Results Complications analyzed included operative death (8.9%), stroke (10%), surgical site infection (1.1%), and cardiac arrest (6.5%). Mortality rates were: aneurysm 2.2%, infective endocarditis 7.4%, dissection 19%, and other etiologies 7.1%. Conclusions In comparing our institution to others, we found that complications were on average within the range of published studies.

Article Info

Article Type

Research Article

Publication history

Received: Mon 29, Oct 2018
Accepted: Mon 19, Nov 2018
Published: Wed 19, Dec 2018

Copyright

© 2023 Max Shrout. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2018.01.003