Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
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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Brazilian Journal of Cardiovascular Surgery (Online) |
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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 |
_version_ |
1752126598095568896 |