Surgery for Ascending Aortic Aneurysm with Aortic Regurgitation : SYMPOSIUM ON CLINICAL PROBLEMS IN AORTIC DISEASES

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概要

• 論文の詳細を見る

• We reviewed 22 consecutive patients undergoing surgery during 13 years from 1968 to 1981 for ascending aortic aneurysms associated with aortic regurgitation due primarily to idiopathic medionecrosis resulting in annuloaortic ectasia. Chronic aortic dissection was accompanied in 45% of the patients. The operative period was divided into 2 stages, the first from 1968 to 1976, and the second from 1977 to 1981. In the earlier period, the operative mortality was 42%, and it improved significantly to 0% (P < 0.05) in the later period. The reasons for improved surgical results are 1 ) the employment of the Bentall operation with some technical modifications and 2) the use of better myocardial protection method with cold potassium cardioplegia. The postoperative hemodynamic and clinical improvements were significant. The left ventricular end-diastolic pressure and left ventricular dimension were significantly improved toward normal (p < 0.05 and p < 0.001). Operative survivors showed a clinical improvement from NYHA class 3 to 1.3 on an average. The actuarial survival rate at 6 years after operation was 64.3% in the entire series, and 71.1% in patients with the Bentall operation. In patients with type I aortic dissection, a false lumen remained patent after operation and may progress to cause late morbidity or mortality. Surgery should be performed earlier than aortic dissection takes place whenever feasible. The Bentall operation can now be performed with a low risk, and can improve the clinical and hemodynamic states and very possibly prolong the longevity of the patients.

• 社団法人日本循環器学会の論文
• 1982-02-20

著者

• Nakano Susumu

  Department Of Advanced Cardiovascular Therapeutics Osaka University Graduate School Of Medicine

• Kawashima Yasunaru

  First Dept. of Surgery & Dept. of Radiology, Osaka University Hospital

• Koh Yoshiaki

  The 3rd Department Of Surgery Nara Medical College

• Kitamura Soichiro

  国立循環器病センター 心臓血管外科

• Kitamura Soichiro

  循環器セ

• Kawashima Yasunaru

  Division Of Cardiovascular Surgery Osaka Minami National Hospital

• Kawashima Yasunaru

  大阪大学 第1外科

• Nakano Susumu

  First Department of Surgery, Osaka Medical School University

• Kawachi Kanji

  Department Of Surgery Ii Ehime University School Of Medicine

• Kawashima Yasunaru

  First Department Of Surgery Osaka University Medical School

• Ohnishi Kenji

  Division Of Cardiac Surgery Sakurabashi Watanabe Hospital:first Department Of Surgery Osaka Universi

• Onishi Kenji

  First Dept. Of Surgery Osaka Unlv School Of Med

• OYAMA CHOKEN

  Department of Surgery III, Nara Medical College

• KITAMURA SOICHIRO

  Third Department of Surgery, Nara Medical College Hospital

• OHNISHI KENJI

  First Department of Surgery, Osaka University Hospital

• OYAMA CHOKEN

  Third Department of Surgery, Nara Medical College Hospital

• KAWACHI KANJI

  Third Department of Surgery, Nara Medical College Hospital

• KOH YOSHIAKI

  First Department of Surgery, Osaka University Hospital

• KAWASHIMA YASUNARI

  FIRST DEPARTMENT OF SURGERY OSAKA UNIVERSITY MEDICAL SCHOOL

• Kitamura Soichiro

  3rd Department Of Surgery Nara Medical College

• Nakano Susumu

  First Department Of Surgery Osaka University Medical School

• Kawashima Yasunaru

  First Department Of Surgery And Department Of Physiological Chemistry Osaka University Medical Schoo

• Kitamura Soichiro

  Third Department Of Surgery Nara Medical College Hospital

• Ohnishi Kenji

  First Department Of Surgery Osaka University Hospital

• Oyama Choken

  Department Of Surgery Iii Nara Medical College

• Oyama Choken

  1st Department Of Surgery Osaka University Medical School

• Oyama Choken

  Department Of Surgery Iii Nara Medical Collge

• Kitamura Soichiro

  Department Of Physiology Ii Nara Medical University

• Ohyama Choken

  1st Dept. Of Surg. Osaka Univ. School Of Med.

• Ohyama Choken

  1st Dept. Of Surgery Osaka Univ. School Of Med

• Kawachi Kanji

  Third Department Of Surgery Nara Medical School

• Ohoyama Choken

  1st Dept. Of Surg. Osaka Univ. School Of Med.

• Kawamura Shinji

  1st Department Of Surgery Medical School Osaka Univ.

• Ohnishi Kenji

  First Department Of Surgery Faculty Of Medicine University Of Fukui School Of Medicine

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