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TITLE:

RESTORATION OF ROOT VALVE SPARING IN SEVERE SEGMENTATION OF SOARING AORTA

AUTHORS:

Dr komal Naseer, Dr Hina Iftikhar, Dr Asim Raza Mir Shah

ABSTRACT:

Objectives: The aims of our research is to study the patients with acute aortic dissection of the ascending aorta and their treatment with re-implantation technique also determine the usefulness and effect of this technique in patient with serious aortic inefficiency before operation. Methodology: From April 2017 to March 2018 nineteen participant of acute aortic dissection of the ascending aorta (Stanford type A) were suffer from valve sparing aortic root restoration. All patients were under the age of twenty-four to seventy-six-year-old (fifty-one.7┬▒thirteen.2, fifty-eight percent males). For the analysis of disease like, left ventricle ejection fraction and valve inefficiency was studying by the help of Trans esophageal echocardiography. Length of hospitalization, echocardiographic and clinical follow-up, complications and mortality were analyzed. Results: Twenty-one percent patients were died by other reason not by valve related complexity. In fifteen percent main complexities were seen after operation. The patient stay was nine days in the intensive care unit (ICU) and the mean stay in hospital were sixteen days. The hospital profile of patient was compare after and before operation it showed that ventricle ejection fraction and serious aortic inefficiency were undoubtedly changed (P<0.05). The recovered patients were compare with died patient the numerically difference was only seen in cardio pulmonary bypass time (P=0.04). Conclusion: Valve sparing aortic root reconstruction in patients with type A dissection can be performed with acceptable during operation fatality and mournfulness & better results during checkup. Key Words: Ventricle Ejection, Fraction, Cardiovascular, Valve, Aortic, Acute, Reconstruction.

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