Skip navigation oxford journals contact us my basket my account european journal cardio-thoracic surgery about this journal contact this journal subscriptions view current issue (volume 42 issue 4 october 2012) archive search oxford journals medicine european journal cardio-thoracic surgery advance access 10. viagra canada online 1093/ejcts/ezs120 mid-term results after sinutubular junction remodelling with aortic cusp repair † mitsuru asano , takashi kunihara , diana aicher , hazem el beyrouti , svetlana rodionycheva and hans-joachim schã¤fers * department of thoracic and cardiovascular surgery, university hospital of saarland, homburg/saar, germany ↵ *corresponding author. Department of thoracic and cardiovascular surgery, university hospital of saarland, kirrbergerstr. 1, 66421 homburg, germany. Tel: +49-6841-1632000; fax: +49-6841-1632005; e-mail: h-j. viagra generic Schaefers{at}uniklinikum-saarland. buy generic viagra online De (h. -j. Schã¤fersâ ). Received september 1, 2011. best price for viagra in uk Revision received january 14, 2012. viagra no prescription Accepted january 24, 2012. Abstract objectives an ascending aortic aneurysm with aortic valve regurgitation (ar) may be treated by sinutubular junction remodelling (stjr) with aortic cusp repair if the root diameter is preserved. best price for viagra in uk We analysed the outcome of stjr with cusp repair. viagra for blood pressure control Methods between 1995 and 2010, 1094 patients underwent valve-preserving surgery. Of these, 560 individuals with root replacement, 128 patients with acute aortic dissection and 262 patients with preoperative arâ â‰¤â ii were excluded. The remaining 144 patients (mean age 56. 0â â±â 17. 0 years, 103 males) underwent stjrâ â±â cusp repair for ascending aortic aneurysm and arâ â‰¥â iii. In all, sinus dimensions were preserved according to the following criteria: maximum diameter ≤42â mm in bicuspid aortic valve (bav, nâ =â 59) and unicuspid aortic valve (uav, nâ =â 27), and ≤45â mm in tricuspid aortic valves (tav, nâ =â 58). In bav, right–left (nâ =â 52) and right-non-coronary (nâ =â 7) cusp fusions were seen. To evaluate the influence of valve morphology, patients were divided into two groups: tav and non-tav. The patients with non-tav were younger (pâ <â 0. viagra online american express 01) and had less concomitant cardiac surgery (pâ <â 0. cheap viagra online 01). The mean follow-up was 25. 9â â±â 22. 0 months. Results early mortality was 2. where to order generic viagra 1% (nâ =â 3). The causes of death were cardiac (nâ =â 1), respiratory (nâ =â 1) and mesenteric ischaemia (nâ =â 1). Higher age was the predictor of early mortality by multivariate analysis (pâ =â 0. 04, hazard ratio 13. 2). Overall 5-year survival was 93. 9â â±â 2. canada generic viagra 9% (tav, 82. 8â â±â 10. best price for viagra in uk 2%; non-tav, 98. how female viagra works 5â â±â 1. 5%; pâ =â 0. 02). Causes of late death were cardiac (nâ =â 1), respiratory (nâ =â 1) and.   
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