Apico-Aortic Conduit for severe aortic stenosis Technique, applications, and systematic review

Apico-Aortic Conduit for severe aortic stenosis : Technique, applications, and systematic review

Patients referred for aortic valve replacement are often elderly and may have increased surgical risk associated with ascending aortic calcification, left ventricular dysfunction, presence of coronary artery disease, previous surgery, and/or presence of several co-morbidities. Some of these patients...

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Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 22(2010), 4 vom: 01. Okt., Seite 187-94
1. Verfasser: Elmistekawy, Elsayed (VerfasserIn)
Weitere Verfasser: Lapierre, Harry, Mesana, Thierry, Ruel, Marc
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2010
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article AAC, Apico Aortic Conduit AS, aortic stenosis AVR, aortic valve replacement Aortic stenosis Aortic valve bypass surgery Aortic valve replacement Apico-Aortic Conduit BSA, body surface area CABG, coronary artery bypass grafting surgery mehr... CHF, congestive heart failure COPD, chronic obstructive pulmonary disease CPB, cardiopulmonary bypass DHCA, deep hypothermic circulatory arrest FEM-FEM, femoro-femoral ITA, internal thoracic artery LITA, left internal thoracic artery LVH, left ventricular hypertrophy LVOT, left ventricle outflow tract MDCT, multidetector-computerized tomography MVR, mitral valve replacement NYHA, New York Heart Association OPCAB, off pump coronary artery bypass PH, pulmonary hypertension RITA, right internal thoracic artery TAVI, transcatheter aortic valve implantation TEE, transesophageal echocardiography
Beschreibung
Zusammenfassung:Patients referred for aortic valve replacement are often elderly and may have increased surgical risk associated with ascending aortic calcification, left ventricular dysfunction, presence of coronary artery disease, previous surgery, and/or presence of several co-morbidities. Some of these patients may not be considered candidates for conventional surgery because of their high risk profile. While transcatheter aortic valve replacement constitutes a widely accepted alternative, some patients may not be eligible for this modality due to anatomic factors. Apico-Aortic Conduit (AAC) insertion (aortic valve bypass surgery) constitutes a possible option in those patients. Apico-Aortic Conduit is not a new technique, as it has been used for decades in both pediatric and adult populations. However, there is a resurging interest in this technique due to the expanding scope of elderly patients being considered for the treatment of aortic stenosis. Herein, we describe our surgical technique and provide a systematic review of recent publications on AAC insertion, reporting that there is continued use and several modifications of this technique, such as performing it through a small thoracotomy without the use of the cardiopulmonary bypass
Beschreibung:Date Completed 20.08.2013
Date Revised 23.03.2024
published: Print-Electronic
Citation Status PubMed-not-MEDLINE
ISSN:1016-7315
DOI:10.1016/j.jsha.2010.06.003