[Simplified technic for the resection of aneurysms of the ascending aorta with aortic insufficiency].

The authors propose a simplified technique for the resection of dystrophic aneurysms of the ascending aorta with aortic regurgitation. The technique is based on a special method of shaping the Dacron tube, so that the proximal line of suture extends to the bottom of the sinuses of Valsalva, in front of and behind the coronary ostia. The results in 27 operated patients are reported. The global hospital mortality was nil. Seventy four per cent of patients had no complications at all 22 per cent had minor and rapidly regressive complications. The long-term results were assessed in 20 patients. There were no secondary deaths or reoperations. Angiographic and/or echocardiographic control performed in 12 cases showed no valvular dysfunction or recurrence of the aneurysmal process. The advantages of this technique are its simplicity, its good short and long-term results and the possibility of using a bioprosthesis for aortic valve replacement.