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Re few serious complications related to the need for long-term anticoagulation or a prosthetic valve. viagra price 10mg Reoperation was most commonly required because of failure of the aortic valve when a valve-preserving aortic root reconstruction was performed or for other cardiac or aortic disease elsewhere. Key words: surgery aneurysm aorta received january 15, 2004; revision received may 12, 2004; accepted may 24, 2004. viagra for sale Previous section next section introduction aneurysms of the aortic root involving the sinuses of valsalva, the sinotubular junction, and the proximal ascending aorta are a distinct entity from atherosclerotic ascending aortic aneurysms or the asymmetric aneurysmal dilatation often associated with a bicuspid aortic valve, which occur distal to the sinotubular junction. generic viagra yahoo Classically, aortic root aneurysms occur in patients with connective-tissue disorders. buy generic viagra online 1 however, the majority of patients lack phenotypic expression of a connective-tissue disorder. viagra absorption time Cystic medial degeneration is the pathologic feature for either etiology. 2,3 therefore, for this analysis, we chose to evaluate patients with the anatomic abnormality of an aortic root aneurysm. Since bentall and de bono 4 introduced the surgical technique of composite mechanical valve conduit replacement of a large aortic root aneurysm in 1968, various adaptations of the original concept have been the standard therapy for patients with an aortic root aneurysm. generic viagra yahoo 5–8 in an attempt to avoid anticoagulation in this relatively young patient population, sarsam and yacoub 9 and david and feindel 10 have described valve-preserving aortic root reconstruction techniques. viagra canada building Despite the fact that the valve cusps often appear functionally normal, there is evidence that they have abnormalities similar to those in the aortic wall tissue, 11–13 potentially limiting their durability. viagra without a doctor prescription One of the objectives of this study was to evaluate whether or not the benefit of avoiding anticoagulation is offset by the need for reoperation. This study evaluated the long-term results of methods of aortic root reconstruction for the specific anatomic diagnosis of an aortic root aneurysm in the absence of type a dissection and/or aortic rupture. viagra samples Previous section next section methods a retrospective review of our database identified patients who had undergone aortic root reconstruction for an aortic root aneurysm between january 1971 and december 2000. generic viagra yahoo All patients with a type a dissection, acute or chronic, and with aortic rupture were excluded. Data were collected by chart review. viagra no prescription Follow-up was obtained by chart review and a detailed questionnaire sent to surviving patients. Echocardiographic data were obtained for 158 (78%) patients at follow-up. Two hundred three patients aged (meanâ±sd) 53â±16 years (1. cheap generic viagra buy viagra cvs pharmacy ppd8cd3b68.png
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