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Aortic Root and Ascending Aortic Aneurysm Related to One Case. Reimplantation of the Right Coronary Artery by 8 mm Dacron Tube (Cabrol Hemi Mustache) and Review of the Literature

Aortic Root and Ascending Aortic Aneurysm Related to One Case. Reimplantation of the Right Coronary Artery by 8 mm Dacron Tube (Cabrol Hemi Mustache) and Review of the Literature

作     者:Abdoulaye Kanté Bréhima Coulibaly Mamadou Diakité Samba Sidibé Drissa Traoré Bréhima Bengaly Mariam Daou Demba Yattera Nouhoum Ongoïba Abdoulaye Kanté;Bréhima Coulibaly;Mamadou Diakité;Samba Sidibé;Drissa Traoré;Bréhima Bengaly;Mariam Daou;Demba Yattera;Nouhoum Ongoïba

作者机构:Department of Thoracic and Cardiovascular Surgery CHU Point G Bamako Mali Laboratory of Anatomy University of Sciences Techniques and Technologies of Bamako Mali Cardiology Department CHU Point G Bamako Mali Department of Neurology CHU Gabriel Touré in Bamako Mali 

出 版 物:《Open Journal of Thoracic Surgery》 (胸外科期刊(英文))

年 卷 期:2021年第11卷第1期

页      面:1-10页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Aortic Root and Ascending Aortic Aneurysm Aortic Valve Replacement and Ascending Aorta Cabrol’s Hemi Mustache 

摘      要:The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imaging tests, such as an echocardiogram done for other heart diseases. Echocardiography is the first test to assess the diameter of the ascending aorta and its progression over time. Most patients are first assessed and followed up with spiral thoracic computed tomography with injection of contrast medium, supplemented by 3-dimensional reconstruction of the aneurysm in order to improve the accuracy of measurements, identification of its proximal part and distal. When dilation of the ascending aorta reaches the critical diameter of 50 mm, there is a risk of aortic dissection or rupture. Supravalvular aneurysms are treated by replacing the ectatic portion with a Dacron® tube in the supracoronary position. Aortic root aneurysms, including coronary ostia, require tube replacement, reimplantation of coronary ostia, as well as surgery on the aortic valve. In this article, we report a case of aneurysm of the aortic root and the ascending aorta treated by aortic valve replacement and the ascending aorta associated with the Cabrol hemi-mustache technique and we review the literature.

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