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Article Open Access October 27, 2023

Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery

Francesca D’Auria 1,* and Danilo Flavio Santo 2
1
Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d’Aragona of Salerno, Cardiovascular Surgery Department, Salerno, Italy
2
Centro Medico Santagostino, Cardiovascular OP Clinic, Milan, Italy
Publihed in: Current Research in Public Health (Volume 2, Issue 1, 2023)
Page(s): 5-11
DOI: 10.31586/gjcd.2023.788
Received
September 10, 2023
Revised
October 16, 2023
Accepted
October 24, 2023
Published
October 27, 2023
Keywords
Aortic Root Dilatation; Aortic Aneurysm; Descending Thoracic Aneurysm; Shear Stress; Vascular Prosthesis
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2023. Published by Scientific Publications
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Cite This Article

APA Style
D’Auria, F. , & Santo, D. F. (2023). Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery. Current Research in Public Health, 2(1), 5-11. https://doi.org/10.31586/gjcd.2023.788
ACS Style
D’Auria, F. ; Santo, D. F. Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery. Current Research in Public Health 2023 2(1), 5-11. https://doi.org/10.31586/gjcd.2023.788
Chicago/Turabian Style
D’Auria, Francesca, and Danilo Flavio Santo. 2023. "Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery". Current Research in Public Health 2, no. 1: 5-11. https://doi.org/10.31586/gjcd.2023.788
AMA Style
D’Auria F, Santo DF. Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery. Current Research in Public Health. 2023; 2(1):5-11. https://doi.org/10.31586/gjcd.2023.788 
@Article{crph788,
AUTHOR = {D’Auria, Francesca and Santo, Danilo Flavio},
TITLE = {Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery},
JOURNAL = {Current Research in Public Health},
VOLUME = {2},
YEAR = {2023},
NUMBER = {1},
PAGES = {5-11},
URL = {https://www.scipublications.com/journal/index.php/GJCD/article/view/788},
ISSN = {2831-5162},
DOI = {10.31586/gjcd.2023.788},
ABSTRACT = {Objective: aortic root enlargement (ARE) and descending thoracic aorta dilatation (DTAD) in combined aortic valve and ascending aorta replacement surgery (AV+AAR) are postoperative concerning issues. This retrospective observational analysis studies surgical factors which could determine those complications. Methods: 236 patients underwent AV+AAR. Mean-time follow-up by trans-thoracic echocardiography (TTE) and computer tomography (CT) was 44.7 ± 21.2 and 38.2 ± 18.4 months respectively. In long-term follow-up, outcome variables are: ARE equal/more than 10% of the preoperative TTE data and DTAD equal more than 5% of preoperative CT measurement at the same thoracic vertebrae axial slice. Results: ARE and DTAD appear strictly related to the discrepancy between prosthetic valve and straight vascular prosthesis diameters (p = 0.024), while there is not significant difference (log-rank = 0.917) related to aortic valve surgery type (replacement or repair). Considering diameter difference (DD) between vascular and aortic valve prosthesis, patients were subsequently grouped into two sections: L5 group, in which DD was less/equal than 5 mm, and M5, in which DD was more/equal than 5 mm. ARE was found in 30.8 % of L5 patients and only in 14.7 % among M5 patients (log-rank = 0.026). We have also observed descending thoracic aorta dilatation in 34.2 % of L5 and in 12.1 % of M5 (log-rank = 0.023). Conclusions: According with our data, difference between vascular prosthesis and aortic valve prosthesis equal/more than 5 mm is a protective factor against ARE and DATD.},
}
%0 Journal Article
%A D’Auria, Francesca
%A Santo, Danilo Flavio
%D 2023
%J Current Research in Public Health

%@ 2831-5162
%V 2
%N 1
%P 5-11

%T Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery
%M doi:10.31586/gjcd.2023.788
%U https://www.scipublications.com/journal/index.php/GJCD/article/view/788

TY  - JOUR
AU  - D’Auria, Francesca
AU  - Santo, Danilo Flavio
TI  - Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery
T2  - Current Research in Public Health
PY  - 2023
VL  - 2
IS  - 1
SN  - 2831-5162
SP  - 5
EP  - 11
UR  - https://www.scipublications.com/journal/index.php/GJCD/article/view/788
AB  - Objective: aortic root enlargement (ARE) and descending thoracic aorta dilatation (DTAD) in combined aortic valve and ascending aorta replacement surgery (AV+AAR) are postoperative concerning issues. This retrospective observational analysis studies surgical factors which could determine those complications. Methods: 236 patients underwent AV+AAR. Mean-time follow-up by trans-thoracic echocardiography (TTE) and computer tomography (CT) was 44.7 ± 21.2 and 38.2 ± 18.4 months respectively. In long-term follow-up, outcome variables are: ARE equal/more than 10% of the preoperative TTE data and DTAD equal more than 5% of preoperative CT measurement at the same thoracic vertebrae axial slice. Results: ARE and DTAD appear strictly related to the discrepancy between prosthetic valve and straight vascular prosthesis diameters (p = 0.024), while there is not significant difference (log-rank = 0.917) related to aortic valve surgery type (replacement or repair). Considering diameter difference (DD) between vascular and aortic valve prosthesis, patients were subsequently grouped into two sections: L5 group, in which DD was less/equal than 5 mm, and M5, in which DD was more/equal than 5 mm. ARE was found in 30.8 % of L5 patients and only in 14.7 % among M5 patients (log-rank = 0.026). We have also observed descending thoracic aorta dilatation in 34.2 % of L5 and in 12.1 % of M5 (log-rank = 0.023). Conclusions: According with our data, difference between vascular prosthesis and aortic valve prosthesis equal/more than 5 mm is a protective factor against ARE and DATD.
DO  - Key Factor to Prevent Aortic Root and Descending Thoracic Aorta Enlargement after Aortic Valve and Ascending Aorta Combined Surgery
TI  - 10.31586/gjcd.2023.788
ER  -