Aortic valve-sparing in 37 patients with Marfan syndrome: midterm results with David operation.

Background: We reviewed our experience with aortic valve-sparing operations in Marfan syndrome during last 5 years.

Methods: Between March 2004 and June 2009, 94 patients with aortic root aneurysms underwent valve-sparing operations. Of these, 37 (68% male) were diagnosed with Marfan syndrome, according to the Ghent diagnostic criteria.

Early acute aortic dissection of the donor aorta after orthotopic heart transplantation.

Acute type A aortic dissection is an uncommon complication after orthotopic heart transplantation and usually affects the native aorta. Seven cases reported in the literature describe an aortic dissection confined to the donor aorta and only in two of them were they detected during the early postoperative period. We describe the case of a 58-year-old man, the recipient of a cardiac allograft for ischemic cardiomyopathy 20 days earlier, who presented an acute type A aortic dissection limited to the donor aorta.

Acute type A aortic dissection: 18 years of experience in one center (Hospital 12 de Octubre).

Here, we review our experience in acute type A aortic dissection analyzing the role of antegrade brain protection. A total of 105 patients underwent surgery for acute type A aortic dissection between March 1990 and October 2008. An open technique with deep hypothermia was used in 81 patients.

Predictors of mortality and reoperation in acute type-a aortic dissection surgery: 18 years of experience.

Introduction And Objectives: To describe our experience with acute type-A aortic dissection surgery, including an analysis of the effect of cerebral protection on outcome.

Methods: Between March 1990 and October 2007, 98 consecutive patients underwent surgery for acute type-A aortic dissection. Of these, 85 had an ascending aorta replacement, while the entire arch was replaced in 13.