Sheri Bala1, Afsaneh Karimian-Tabrizi1, Anton Moritz2 and Nadejda Monsefi3*
1Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Germany
2Department of Thoracic and Cardiovascular Surgery, Kepler University Hospital Linz, Austria
3Department of Thoracic and Cardiovascular Surgery, Heart Center Siegburg, Germany
Objectives: Moderate dilated ascending aorta can be treated with different procedures. One of them is wrapping of the ascending aorta which is considered less invasive and optional for high risk patients. Methods: Between January 2014 and December 2017, 82 patients with a mean age of 64 ± 14 years underwent wrapping of the dilated ascending aorta. Mean EUROScore II was 3 ± 3.2%. Twelve patients (15%) were high risk with mean EUROScore II of 9.5 ± 3.1%. Concomitant procedures were aortic valve repair (n=21) and replacement (n=40), mitral- (n=14) and tricuspid valve (n=10) procedures as well as coronary artery bypass grafting (n=28). 68 (83%) were male. Results: A 30-day mortality was 1% (n=1). Mean follow up time was 1.8 ± 1 years. We noticed seven (4.8%/pt-year) late deaths and one (0.7%/pt-year) neurological event (stroke) during follow up. There were no cases of reoperation. Follow up echocardiography revealed a mean ascending aorta diameter of 3.2 ± 0.2 cm. Kaplan-Meier estimate for survival was 96% at 1 year and 84% at 3 years. At latest follow up patients were in New York Heart Association class 1.6 ± 0.9 mean. Conclusion: According to our short-term clinical outcome and echocardiography data a sufficient application of this procedure can directly reduce the diameter of the ascending aorta. Wrapping of the ascending aorta with Dacron prosthesis is a safe and effective method with good short-term clinical outcome. It is an option for high risk patients with dilated ascending aorta. However, a longer follow up period is necessary to underline our thesis.
Wrapping; Dilated ascending aorta; PUS; CABG
Bala S, AKarimian-Tabrizi A, Moritz A, Monsefi N. Short-Term Results of Ascending Aorta Wrapping: A Single Center Experience with 82 Consecutive Patients. Clin Surg. 2019; 4: 2633.