Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections

Detalhes bibliográficos
Autor(a) principal: Novaes,Fernando Rotatori
Data de Publicação: 2013
Outros Autores: Navarro,Tulio Pinho, Bernardes,Rodrigo de Castro, Pinto,Fernando Antonio Roquete Reis, Lima,Luiz Cláudio Moreira, Monteiro,Ernesto Lentz da Silveira, Medeiros,Carla Patrícia Perpétua
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200005
Resumo: OBJECTIVE: To demonstrate surgical results using Castro Bernardes intraluminal ring in ascending aorta surgery, instead of conventional suture. METHODS: 95 patients underwent ascending aorta surgery from December 2008 to April 2011 at Madre Tereza Hospital (Belo Horizonte, MG, Brazil), using Castro Bernardes intraluminal ring instead of conventional suture of the aorta. RESULTS: Ninety five patients underwent ascending aorta surgery with Castro-Bernardes intraluminal ring. Thirty patients presented acute dissection and 65 aneurism. Overall postoperative mortality was 15.78% (15/95). Nine patients in 15 (60%) died due to acute type A dissection. For acute type A dissection, mortality was 30% and for aneurism mortality was 9.23%. The intraluminal ring was inserted in distal position in 89 patients and in proximal and distal position in 6 patients. Mortality was related to Bentall & De Bono or Cabrol associated techniques. Average extracorporeal circulation time was 57.4 minutes and average aortic cross-clamping time was 37 minutes. CONCLUSION: The use of Castro Bernardes intraluminal ring in ascending aortic surgery avoiding conventional suture reduces extracorporeal circulation time and aortic cross-clamping time, improving surgical results. This approach simplifies ascending aortic surgery whether the disease is type A dissection or aneurysm, and may be considered a good alternative technique.
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spelling Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissectionsAneurysm, dissectingAortic aneurysmBlood vessel prosthesisOBJECTIVE: To demonstrate surgical results using Castro Bernardes intraluminal ring in ascending aorta surgery, instead of conventional suture. METHODS: 95 patients underwent ascending aorta surgery from December 2008 to April 2011 at Madre Tereza Hospital (Belo Horizonte, MG, Brazil), using Castro Bernardes intraluminal ring instead of conventional suture of the aorta. RESULTS: Ninety five patients underwent ascending aorta surgery with Castro-Bernardes intraluminal ring. Thirty patients presented acute dissection and 65 aneurism. Overall postoperative mortality was 15.78% (15/95). Nine patients in 15 (60%) died due to acute type A dissection. For acute type A dissection, mortality was 30% and for aneurism mortality was 9.23%. The intraluminal ring was inserted in distal position in 89 patients and in proximal and distal position in 6 patients. Mortality was related to Bentall & De Bono or Cabrol associated techniques. Average extracorporeal circulation time was 57.4 minutes and average aortic cross-clamping time was 37 minutes. CONCLUSION: The use of Castro Bernardes intraluminal ring in ascending aortic surgery avoiding conventional suture reduces extracorporeal circulation time and aortic cross-clamping time, improving surgical results. This approach simplifies ascending aortic surgery whether the disease is type A dissection or aneurysm, and may be considered a good alternative technique.Sociedade Brasileira de Cirurgia Cardiovascular2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200005Brazilian Journal of Cardiovascular Surgery v.28 n.2 2013reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20130026info:eu-repo/semantics/openAccessNovaes,Fernando RotatoriNavarro,Tulio PinhoBernardes,Rodrigo de CastroPinto,Fernando Antonio Roquete ReisLima,Luiz Cláudio MoreiraMonteiro,Ernesto Lentz da SilveiraMedeiros,Carla Patrícia Perpétuaeng2013-08-09T00:00:00Zoai:scielo:S0102-76382013000200005Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2013-08-09T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
title Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
spellingShingle Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
Novaes,Fernando Rotatori
Aneurysm, dissecting
Aortic aneurysm
Blood vessel prosthesis
title_short Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
title_full Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
title_fullStr Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
title_full_unstemmed Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
title_sort Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
author Novaes,Fernando Rotatori
author_facet Novaes,Fernando Rotatori
Navarro,Tulio Pinho
Bernardes,Rodrigo de Castro
Pinto,Fernando Antonio Roquete Reis
Lima,Luiz Cláudio Moreira
Monteiro,Ernesto Lentz da Silveira
Medeiros,Carla Patrícia Perpétua
author_role author
author2 Navarro,Tulio Pinho
Bernardes,Rodrigo de Castro
Pinto,Fernando Antonio Roquete Reis
Lima,Luiz Cláudio Moreira
Monteiro,Ernesto Lentz da Silveira
Medeiros,Carla Patrícia Perpétua
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Novaes,Fernando Rotatori
Navarro,Tulio Pinho
Bernardes,Rodrigo de Castro
Pinto,Fernando Antonio Roquete Reis
Lima,Luiz Cláudio Moreira
Monteiro,Ernesto Lentz da Silveira
Medeiros,Carla Patrícia Perpétua
dc.subject.por.fl_str_mv Aneurysm, dissecting
Aortic aneurysm
Blood vessel prosthesis
topic Aneurysm, dissecting
Aortic aneurysm
Blood vessel prosthesis
description OBJECTIVE: To demonstrate surgical results using Castro Bernardes intraluminal ring in ascending aorta surgery, instead of conventional suture. METHODS: 95 patients underwent ascending aorta surgery from December 2008 to April 2011 at Madre Tereza Hospital (Belo Horizonte, MG, Brazil), using Castro Bernardes intraluminal ring instead of conventional suture of the aorta. RESULTS: Ninety five patients underwent ascending aorta surgery with Castro-Bernardes intraluminal ring. Thirty patients presented acute dissection and 65 aneurism. Overall postoperative mortality was 15.78% (15/95). Nine patients in 15 (60%) died due to acute type A dissection. For acute type A dissection, mortality was 30% and for aneurism mortality was 9.23%. The intraluminal ring was inserted in distal position in 89 patients and in proximal and distal position in 6 patients. Mortality was related to Bentall & De Bono or Cabrol associated techniques. Average extracorporeal circulation time was 57.4 minutes and average aortic cross-clamping time was 37 minutes. CONCLUSION: The use of Castro Bernardes intraluminal ring in ascending aortic surgery avoiding conventional suture reduces extracorporeal circulation time and aortic cross-clamping time, improving surgical results. This approach simplifies ascending aortic surgery whether the disease is type A dissection or aneurysm, and may be considered a good alternative technique.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200005
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1678-9741.20130026
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.28 n.2 2013
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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