Aortic Root Enlargement with Glycerol-preserved Homologous Dura Mater Patch during Aortic Valve Replacement

Summary Aortic root enlargement with a patch is sometimes indicated either to prevent aortic homograft valve distortion during implantation or to facilitate easy, tension-free closure of the aortotomy. Patches made of prosthetic material have been widely used for this purpose. The use of autogenous...

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Veröffentlicht in:The Thoracic and cardiovascular surgeon 1985-02, Vol.6 (1), p.23-25
Hauptverfasser: Osinowo, O., Ross, J. K., Monro, J. L.
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container_title The Thoracic and cardiovascular surgeon
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creator Osinowo, O.
Ross, J. K.
Monro, J. L.
description Summary Aortic root enlargement with a patch is sometimes indicated either to prevent aortic homograft valve distortion during implantation or to facilitate easy, tension-free closure of the aortotomy. Patches made of prosthetic material have been widely used for this purpose. The use of autogenous pericardium has recently been reported. Although dura mater has been shown to have great strength, low antigenicity, athrombogenicity, easy availability in large sizes and rapid bonding to most tissues, its use for patch enlargement of the aortic root has not been previously documented. From 1979 to 1983, 38 patients had dura mater aortic root gussets placed during aortic valve replacement at the Southampton General Hospital. In all cases, the patches were placed to facilitate aortic closure, or to prevent homograft valve distortion by enlarging the non-coronary sinus. Aortic homografts were implanted in 11 patients, Carpentier Edwards' Xenograft valves in 16, Björk-Shiley valves in 8 and Wessex Xenografts in 3 patients. All the patients survived and in a mean follow-up of 30 ± 12.8 months (range 3 to 48 months) there has been no clinical evidence of patch failure due to leakage, rupture or aneurysm formation. These results suggest that glycerol-preserved dura mater is a satisfactory patch material for aortic root enlargement during aortic valve replacement.
doi_str_mv 10.1055/s-2007-1014075
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Aortic homografts were implanted in 11 patients, Carpentier Edwards' Xenograft valves in 16, Björk-Shiley valves in 8 and Wessex Xenografts in 3 patients. All the patients survived and in a mean follow-up of 30 ± 12.8 months (range 3 to 48 months) there has been no clinical evidence of patch failure due to leakage, rupture or aneurysm formation. 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K.</creatorcontrib><creatorcontrib>Monro, J. L.</creatorcontrib><title>Aortic Root Enlargement with Glycerol-preserved Homologous Dura Mater Patch during Aortic Valve Replacement</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>Summary Aortic root enlargement with a patch is sometimes indicated either to prevent aortic homograft valve distortion during implantation or to facilitate easy, tension-free closure of the aortotomy. Patches made of prosthetic material have been widely used for this purpose. The use of autogenous pericardium has recently been reported. Although dura mater has been shown to have great strength, low antigenicity, athrombogenicity, easy availability in large sizes and rapid bonding to most tissues, its use for patch enlargement of the aortic root has not been previously documented. From 1979 to 1983, 38 patients had dura mater aortic root gussets placed during aortic valve replacement at the Southampton General Hospital. In all cases, the patches were placed to facilitate aortic closure, or to prevent homograft valve distortion by enlarging the non-coronary sinus. Aortic homografts were implanted in 11 patients, Carpentier Edwards' Xenograft valves in 16, Björk-Shiley valves in 8 and Wessex Xenografts in 3 patients. All the patients survived and in a mean follow-up of 30 ± 12.8 months (range 3 to 48 months) there has been no clinical evidence of patch failure due to leakage, rupture or aneurysm formation. These results suggest that glycerol-preserved dura mater is a satisfactory patch material for aortic root enlargement during aortic valve replacement.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Bioprosthesis</subject><subject>Blood Vessel Prosthesis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Prosthesis Design</subject><subject>Risk</subject><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1v2zAQhokiReKkXbsF4JSNyZESRWo0HOcDSNHCaLsSFMnYSilRJakU_veVayFbphve5x7cvQh9oXBNgfObRBiAIBRoCYJ_QAtaFjWhNbATtAAqKKlKxs_QeUovMEFS1qfolHFRl1ws0O9liLk1eBNCxuve67h1nesz_tvmHb73e-Ni8GSILrn46ix-CF3wYRvGhG_HqPFXnV3E33U2O2zH2PZbPCt_af_q8MYNXpv_zk_o47P2yX2e5wX6ebf-sXogT9_uH1fLJ2IKJjNpqOVUHE7XtqitqcE2jWw4FMBKLWVV1FJXEyG4NLSmYMEaLW3JhDWM6eICXR29Qwx_Rpey6tpknPe6d9PdSlRAoSirCbw-giaGlKJ7VkNsOx33ioI6tKuSOrSr5nanhcvZPDads2_4XOeUk2Oed-30snoJY-ynV9_z_QN8_YNS</recordid><startdate>198502</startdate><enddate>198502</enddate><creator>Osinowo, O.</creator><creator>Ross, J. 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L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-b1d5170171ad39dc90dbb8b503024a886398a6170758c1910d0dca8d427dc22a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Bioprosthesis</topic><topic>Blood Vessel Prosthesis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Valve Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Prosthesis Design</topic><topic>Risk</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osinowo, O.</creatorcontrib><creatorcontrib>Ross, J. K.</creatorcontrib><creatorcontrib>Monro, J. L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Thoracic and cardiovascular surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osinowo, O.</au><au>Ross, J. K.</au><au>Monro, J. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic Root Enlargement with Glycerol-preserved Homologous Dura Mater Patch during Aortic Valve Replacement</atitle><jtitle>The Thoracic and cardiovascular surgeon</jtitle><addtitle>Thorac cardiovasc Surg</addtitle><date>1985-02</date><risdate>1985</risdate><volume>6</volume><issue>1</issue><spage>23</spage><epage>25</epage><pages>23-25</pages><issn>0171-6425</issn><eissn>1439-1902</eissn><abstract>Summary Aortic root enlargement with a patch is sometimes indicated either to prevent aortic homograft valve distortion during implantation or to facilitate easy, tension-free closure of the aortotomy. Patches made of prosthetic material have been widely used for this purpose. The use of autogenous pericardium has recently been reported. Although dura mater has been shown to have great strength, low antigenicity, athrombogenicity, easy availability in large sizes and rapid bonding to most tissues, its use for patch enlargement of the aortic root has not been previously documented. From 1979 to 1983, 38 patients had dura mater aortic root gussets placed during aortic valve replacement at the Southampton General Hospital. In all cases, the patches were placed to facilitate aortic closure, or to prevent homograft valve distortion by enlarging the non-coronary sinus. Aortic homografts were implanted in 11 patients, Carpentier Edwards' Xenograft valves in 16, Björk-Shiley valves in 8 and Wessex Xenografts in 3 patients. All the patients survived and in a mean follow-up of 30 ± 12.8 months (range 3 to 48 months) there has been no clinical evidence of patch failure due to leakage, rupture or aneurysm formation. These results suggest that glycerol-preserved dura mater is a satisfactory patch material for aortic root enlargement during aortic valve replacement.</abstract><cop>Germany</cop><pmid>2579457</pmid><doi>10.1055/s-2007-1014075</doi><tpages>3</tpages></addata></record>
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source MEDLINE; Thieme Connect Journals
subjects Adolescent
Adult
Aged
Aorta, Thoracic - surgery
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - surgery
Bioprosthesis
Blood Vessel Prosthesis
Female
Follow-Up Studies
Heart Valve Prosthesis
Humans
Male
Middle Aged
Postoperative Complications - etiology
Prosthesis Design
Risk
title Aortic Root Enlargement with Glycerol-preserved Homologous Dura Mater Patch during Aortic Valve Replacement
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