Aortic root/valve/assending aorta replacement

[dot4toto]

Hi
I'm new to this site and I'm in need of some info on grafts.
My surgeon and I have talked about what he'll do but it also depends on what he finds when he goes in.

I'v had the cath already and ct scan, it's what he can't see from these tests.There is talk of a composite graft, that being one piece I understand.

I need the valve then the aorta replacement. Is there anyone out there with this type of repair? (composite repair)Or a place to fine info on this? I'm finding info on the valves and different types, but nothing on composite replacement. (This is the term I remember my surgeon using.)

My surgery has come about in the last two weeks. This Friday is the big day. I feel like there isn't a lot of time for research. My anyresum grew therefore surgery is moved up. I trust my doctor, I just wanted to educate myself to some degree in this short time period.

Thanks for the help, I think this site is a blessing.
Tina

 

[Ross]

Google is your friend!

http://mmcts.ctsnetjournals.org/cgi/content/full/2003/1204/MMCTS.2003.000001

Or you could get what I have, but it's mechanical:

http://www.sjm.com/devices/device.aspx?name=SJM®+Valved+Grafts&location=us&type=18

 

[Susan BAV]

Hi Tina -

There is a member here, Arlyss, and while her husband is the patient, she might have more info for you on that very subject. She's particularly well-informed about aneurysms related to bicuspids.

 

[BDMc]

Welcome+

Welcome+

Tina, Sorry you don't have more time, but it is wise to deal with it sooner rather than later. I can't give you any current info, but can tell you my Dacron graft, which came attached to the valve has lasted over 20 years. We are here for you, and will be with you in spirit to hold your hand Friday. All the best, Brian

 

[Arlyss]

Composite Valve/Ascending aorta Replacement

Composite Valve/Ascending aorta Replacement

If the surgeon used the word "composite", it is a reference to a Dacron tube, which will replace the aortic aneurysm, that includes a prosthetic valve on one end. This combined solution takes the place of the existing valve, aortic root, and ascending aorta.

There are two arteries that feed the heart itself - they branch from the aortic root. The button Bentall technique is what the surgeon does in order to detach the coronary arteries from the existing aorta and attach them to the composite Dacron graft.

When the surgery is done, the existing valve, aortic root, and ascending aorta are all gone - replaced by this composite solution of Dacron and valve, to which the coronary arteries have been attached.

When it is purchased pre-assembled from a manufacturer, the composite Dacron/valve solution will consist of Dacron and a mechanical valve. It is also possible for surgeons who have the skill to do it to make their own composite solution during surgery - either a mechanical or a biological valve can be used in this situation. When a biological valve is used, this is called a "bio Bentall", because the Bentall technique is still used to attach the arteries.

There is another possibility - not using the Bentall procedure at all. In this case, the aortic root is left in place and "remodeled". The valve is replaced (mechanical or tissue), the aortic root is remodeled, and Dacron replaces the aorta around the "remodeled" area as well as the ascending aorta. This technique, like the "build your own" bio Bentall, is done by surgeons who are comfortable/skilled in doing this.

You might find some additional description at

www.cedars-sinai.edu/aorta

During your surgery, your surgeon will decide what is the best solution for both of you - what you need and what he is skilled in giving to you. The decision is left in his hands during surgery. My husband has had 3 surgeries - in his chest, he has a variation of one of the options described above. What was right for him is not necessarily what would be right for someone else.....

All of what I described above are life-saving procedures, and that is what you are looking forward to having very soon - regardless of the exact procedure, it is aimed at saving you from aortic tearing or rupture. Soon the aneurysm that is there now will be gone- a very good thing to have taken care of!

You have my very best wishes for your upcoming surgery,
Arlyss

 

[dot4toto]

Thanks that's so helpful

Thanks that's so helpful

Hi Brian,

Thank you for your support and positive words. Boy is it comeing fast! We're taking care of things around the house and my shop(salon). I need to have as many things "done and taken care" of before all I can do is look at it and then it will drive me crazy I look forward to wirting you all after it's over.

 

[aussigal]

Welcome Tina...

I have the same as Ross...the graft and valve in one neat unit...I no-longer worry myself sick at the thought of my aneurysm bursting/dissecting which was a constant worry before my OP. I trusted my surgeon and Cardio. They recommended the "Bentall procedure" for me. I really havent had any dramas since I left hospital.

 

[dot4toto]

Arlyss,

I can't thank you enough for all that detailed info. I've read some of that info on other pages. And what you said is so true, my doctor has said that he will build what he needs if my situation allows him. I totally trust him and know he will do what's best for me. We talked about a few ways to go and when it comes to knowing for sure what that will be there is now way of knowing until he's in there. My other surgeries where "easy" straight forward- DACRON- end of story. So easy. This has so many ways of going but the bottom line is life and growing old! Friday can't come fast enough.

 

[BDMc]

More to get you through it

More to get you through it

Tina, I just sent a PM, but thought I'd add this here: I too was fraught with anxiety knowing I had a time bomb in my chest. When I woke up in recovery with the tube in my throat, I didn't mind that discomfort. I was so relieved and happy to be alive! Do keep us posted, and ask away, or just share your feelings. All the best, Brian