Aortic Wrapping for a Dilated Ascending Aorta in Bicuspid Aortic Stenosis

• Published in: Circulation Journal 2015/03/25, Vol.79(4), pp.778-784
• Main Authors: Choi, Min Suk, Jeong, Dong Seop, Lee, Hae Young, Sung, Kiick, Kim, Wook Sung, Lee, Young Tak, Park, Pyo Won
• Format: Article
• Language: English
• Subjects: Aged; Aorta - pathology; Aorta - physiopathology; Aorta - surgery; Aortic operation; Aortic valve; Aortic Valve - abnormalities; Aortic Valve - pathology; Aortic Valve - physiopathology; Aortic Valve - surgery; Aortic Valve Stenosis - pathology; Aortic Valve Stenosis - physiopathology; Aortic Valve Stenosis - surgery; Bicuspid Aortic Valve Disease; Dilatation, Pathologic - pathology; Dilatation, Pathologic - physiopathology; Dilatation, Pathologic - surgery; Female; Heart Valve Diseases - pathology; Heart Valve Diseases - physiopathology; Heart Valve Diseases - surgery; Humans; Male; Middle Aged; Retrospective Studies; Valve replacement
• ISSN: 1346-9843; 1347-4820
• DOI: 10.1253/circj.CJ-14-0933

Background:Ascending aorta wrapping is rarely recommended for the management of dilated aorta, because of late complications. The aim of the present study was to analyze the early and late outcomes of the aortic wrapping technique at the time of aortic valve replacement (AVR) for bicuspid aortic stenosis (BAS).Methods and Results:Among patients who underwent primary AVR for BAS between 2002 and 2011, 79 who underwent ascending aortic wrapping (wrapping group) were compared with 144 patients who underwent AVR alone. The preoperative ascending aortic diameters were larger in the wrapping group (40.9±4.2 mm vs. 48.6±4.0 mm, P