Long term results of elective aortic ascendens wrapping technique – single center study

The wrapping technique for the ascending aorta was developed for the treatment of high-risk patients. It is currently used to treat acute pathologies of the ascending aorta in patients with comorbidities or in high-risk situations. This study presents our long-term results with a standardized wrapping method. This retrospective single-center study analyzed data on various aortic diseases from January 2008 to December 2018. The aim of this study was to evaluate the long-term results of the wrapping procedure, with a focus on aortic size as the primary endpoint. Mortality and cerebrovascular events are the secondary endpoints. The wrapping procedure was performed in 38 patients (16 female and 22 male patients, mean EuroScore II 4.9, range 2.0–18.7). The intended size of the ascending aorta was achieved through the use of Prolene mesh. The postoperative median diameter was 38 mm (preoperative median 5.50, range 4.3–7.1). During the follow-up period of 52.0 months (range 2.3–183.8), no recurrence of dilatation or need for reoperation was observed. Perioperative mortality and 1-year mortality were 0%. The technique of covering the ascending aorta with a polypropylene mesh can be performed safely without the use of cardiopulmonary bypass. The technique allows for a predictable and stable diameter of the aortic wall without reintervention and with a longer follow-up period.