[Long-term results with total replacement of the ascending aorta and aortic valve].

From 1971 to 1991, 14 patients, 9 male and 5 female patients ranging in age from 25 to 68 years, were operated on for aortic regurgitation associated with an aneurysm of the ascending aorta. The surgical treatment consisted of 6 cases of Wheat operation, 4 cases of Bentall operation, and 7 cases of Cabrol operation. In 7 cases of Cabrol operation, 3 were reoperations following Wheat or Bentall operations. The operative mortality for the entire group was 28% (4 deaths). The operative mortalities for 6 Wheat operations, 4 Bentall operations, and 7 Cabrol operations were 16%, 75%, and 14%, respectively. Ten patients have been followed from 1 month to 20 years (average 9 years). The late mortality has been 4/10. The cumulative survival rate is 63% at 5 years, 52% at 10 years and 19% at 20 years. Cabrol technique for the treatment of annuloaortic ectasia is an alternative method with relatively low mortality and good-term results.