[HSF] Ao Wraping

[Michael Firstenberg]

so, are you saying that the native aorta fell apart and when you went back
in there was nothing to sew too?


-michael

On 3/30/07, Jbflegejr at aol.com <Jbflegejr at aol.com> wrote:
>
> I wrapped the ascending aorta in several patients some years ago when I
> was
> much intimidated by the prospect of replacing the aorta. I mentioned this
> technique to a colleague who had had much more experience than I and he
> said that
> he had seen calcification of the aorta underneath the wrap. Not too long
> afterwards one of my patients with a wrapped aorta came back with a
> degenerated
> porcine aortic replacement valve about ten years after his operation. I
> found at
> reoperation that all that remained of the aortic wall under the wrap was a
> thin, like an egg shell, layer that was very brittle and fragmented easily
> and
> made for some difficulty in replacing the aorta. I do not know what
> happened to
> the other patients. This finding was exactly like what my colleague
> described.
> John Flege
>
>
>
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