Personalized external aortic root support in aneurysm disease.
Curr Opin Cardiol
; 37(6): 454-458, 2022 11 01.
Article
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| MEDLINE
| ID: mdl-36094493
ABSTRACT
PURPOSE OF REVIEW To bring together and annotate publications about personalised external aortic root support reported in the 18âmonths preceding submission. RECENT FINDINGS:
The total number of personalised external aortic root support (PEARS) operations is now approaching 700 in 30 centres in Australia, Belgium, Brazil, Czech Republic, Great Britain, Greece, Ireland, Malaysia, Netherlands, New Zealand, Poland and Slovakia. There are continued reports of stability of aortic dimensions and aortic valve function with the only exceptions known being where the surgeon has deviated from the instructions for use of the device. The median root diameter of Marfan patients having PEARS was 47âmm suggesting that the existing criterion of 50âmm is due for reconsideration. The peri-operative mortality currently estimated to be less than 0.3%. The first recipient remains alive and well after 18âyears. The use of PEARS as an adjunct to the Ross operation to support the pulmonary autograft is being explored in several centres.SUMMARY:
The operation requires proctoring and adherence to a strict operative protocol and with those precautions excellent results are attained. The evidence and opinions provided in the cited publications indicate that PEARS is a proven and successful prophylactic operation for aortic root aneurysm.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Insuficiencia de la Válvula Aórtica
/
Válvula Pulmonar
/
Aneurisma de la Aorta Torácica
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Síndrome de Marfan
Límite:
Humans
Idioma:
En
Revista:
Curr Opin Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2022
Tipo del documento:
Article