Výsledky léčby externí podpory aortálního kořene a ascendentní aorty u prvních 100 pacientů v České republice
| Title in English | Outcomes of personalised external aortic root support implantation in 100 patients in the Czech Republic |
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| Authors | |
| Year of publication | 2022 |
| Type | Article in Periodical |
| Magazine / Source | cor et Vasa |
| MU Faculty or unit | |
| Citation | |
| Web | https://e-coretvasa.cz/pdfs/cor/2022/06/02.pdf |
| Doi | http://dx.doi.org/10.33678/cor.2022.045 |
| Keywords | Aorta dilatation; Aortic dissection; Aortopathy; PEARS |
| Description | Dilatation of the aortic root and/or ascending aorta is associated with an increased risk of acute dissection. Personalized external aortic root support (PEARS) is a new method that was introduced in last years for these patients without any significant valve disease who do not fulfil the criteria for aortic root or ascending aorta replacement. It is a custom-made macroporous mesh that stabilises the aortic wall. We present the results of the first 100 consecutive patients in whom PEARS was implanted. Methods: The cohort of patients consists of 77 men and 23 women, average age 40.4 +/- 15.3 years. Genetically driven aortopathy was proved in 87 patients. Fourteen patients have aortic regurgitation more then grade 1 but none of them more that grade 2. Maximal diameter of the aortic root and ascending aorta were 60 and 59 mm, respectively. Results: The implantation of the mesh was successful in all the patients; cardiopulmonary bypass was not used in 35 patients. Clinical or laboratory sings of the inflammation were detected in 35 patients and supra-ventricular rhythm disturbances in 23 patients were presented in the early postoperative period. Average length of stay was 8.4 +/- 2.4 days and none patient died in the early postoperative period. Mean follow-up of all patients was 18.1 +/- 17.2 months. Significant reduction of root, sinotubular junction, and ascending aorta dimensions were proved. Conclusion: Mid-term results of patients with the aortic root and/or ascending aorta dilatation after PEARS implantation showed that this method is a good preventative tool of further dilatation and possible aortic dissection. |