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ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2021, Number 3

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Cir Card Mex 2021; 6 (3)

Established practice may be disappointing, but a critical mind can always clarify problems: The Case of PEARS procedure

Ricciardi G, Biondi R

Language: English
References: 14
Page: 63-65
PDF size: 253.32 Kb.


ABSTRACT

After the introduction of Valve Sparing Root Replacement and its modifications, it has been a continuous challenge to improve results of standard procedures, in particular regarding overall survival and freedom from reoperation. Likewise, as aortic root surgery became safer, clinicians felt entitled to offer surgery earlier in natural history of patients with aortic dilatation. The development of a tailored, Personalized External Aortic Root Support (PEARS) offers the opportunity to re-think the process of care for patients at major risk for aortic dissection, especially those with connective tissue disorders and congenital heart defects. The distinctive features of procedure allow a truly preemptive management of these populations, lowering the aortic size at which surgery can be safely and electively performed. The radical idea that resulted in PEARS was to conserve, rather than remove, the diseased aortic wall. In addition, the opportunity to customize the device fulfills the goal to tailor the procedure to each patient, which is a key concept of modern surgery.


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