IS THE RISK OF SURGICAL STABILIZATION OF THE AORTIC WALL JUSTIFIED IN PATIENTS WITH AORTIC STENOSIS AND EXPANSION OF THE ASCENDING AORTA?

Abstract

According to international consensus and recommendations for the diagnosis
and treatment of aortic disease, the management of patients with thoracic aortic aneurysms
depends on the size/diameter of the expansion and represents a balance between the risk
of aneurysm rupture and postoperative mortality during aneurysm repair. In this aspect,
several studies are aimed at assessing the prognostic consequences and surgical risks of
combining aortic valve replacement (AVR) with ascending aortic replacement (AA) for poststenotic dilatation of the aorta. So, according to JY Lim et al. (2013), "there was no
increased risk of early postoperative mortality and a trend towards a long-term positive
effect on the risk of late mortality".