Surgical Management Of Dilatation Of The Ascending Aorta In Patients With Aortic Valve Diseases

Objective: Ascending aortic dilatation disease incidence is rising, themain danger is the formation of spontaneous rupture or dissection.Therefore, early diagnosis and early treatment of aortic dilatation diseaseis particularly important. In this paper, under the exclusion of Marfansyndrome, aortic dissection, severe aortic atherosclerotic lesions, the aorticvalve disease associated with surgical treatment of aortic dilatation liter,and no parcel aortic valvuloplasty for aortic valve disease combined aorticdilatation effect.Methods: A retrospective analysis of cardiovascular surgery in ourhospital between January2011to January2014the treatment of22casesof aortic valve disease associated with clinical cases of aortic dilatationliter, in which four patients rows of ascending aorta dilatation of theascending aorta replacement surgery,18patients on the expansion of theascending aorta and aortic valvuloplasty line. The results on the diameterof the ascending aorta in22patients before surgery and postoperativeaortic diameter at discharge for statistical comparative analysis of thesituation, and from the patient’s cardiopulmonary bypass time, clamp time,blood transfusion, mechanical ventilation time, ICU stay aspects of roomfor a few days, the total number of days of hospitalization and presence ofpostoperative complications, such as project evaluation aorticvalvuloplasty without wrapping.Results:4routine preoperative aortic replacement of the ascendingaorta diameter average (57.13±6.48) mm, the diameter of the ascendingaorta was discharged after an average time (29.75±2.22) mm;18patientswith aortic valve disease associated with the ascending arteries before surgery clinical cases of aortic diameter on average (51.69±4.10) mm, thediameter of the ascending aorta was discharged after an average time(34.69±4.15) mm; overall average CPB time (86.59±40.38) min; mainartery occlusion average time (59±24.59) min; ventilation time (15.61±6.43) h.22patients with only1patient died due to low cardiac outputsyndrome, and the remaining21cases were recovered well, wasdischarged, patients were followed up without recurrence of aorticdilatation and dissection, and other complications. Whether the expansionof the ascending aorta row or rows ascending aorta replacement surgerywithout aortic valvuloplasty wrapped, up patients discharged when theaortic diameter was significantly lower than the preoperative aorticdiameter (P <0.05).Conclusion: The exclusion of Marfan syndrome, aortic dissection,severe aortic atherosclerotic lesions circumstances, no parcel forming theascending aorta and aortic replacement hand compared to the same interimachieved good effect, but the operative time transfusion compared withother indicators, no aortic valvuloplasty wrapped advantages, its operationis relatively simple, less blood transfusion. Long-term results to be furtherfollow-up.