Conservative operation in the management of annular dilatation and ascending aortic aneurysm

Ann Thorac Surg. 1994 Jun;57(6):1672-4. doi: 10.1016/0003-4975(94)90160-0.


Ascending aortic aneurysm associated with annular dilatation is generally handled by resection and replacement of the aortic root. Such an extensive operation may be avoided by a much simpler surgical intervention, ie, aortoplasty, valve replacement, and aortic wall reinforcement. Such an operation may be performed in cases where the shape of the aneurysm is a relatively regular "pear" or "teardrop" shape and is not extremely large. It also may be applied in cases of aortic stenosis with post-stenotic dilatation. The procedure requires barely more operative time and effort than a "simple" aortic valve replacement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aortic Aneurysm / pathology
  • Aortic Aneurysm / surgery*
  • Aortic Diseases / pathology
  • Aortic Diseases / surgery*
  • Aortic Valve Insufficiency / pathology
  • Aortic Valve Insufficiency / surgery*
  • Blood Vessel Prosthesis
  • Dilatation, Pathologic / pathology
  • Dilatation, Pathologic / surgery
  • Heart Valve Prosthesis
  • Humans
  • Suture Techniques