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    Government Action and Communication Institute (GACI) is a non-partisan 501(c)(3) public policy, education, and research organization specializing in health care, social services, and education issues.

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    Atation and autograft regurgitation. Variables entered in the analysis included age, gender, body surface area, diagnosis (regurgitation, stenosis, mixed), bicuspid aortic valve, prior aortic procedure, operative technique (subcoronary, cylinder inclusion, root replacement), use of pericardial strip buttressing, associated procedure, length of follow-up, and preoperative and postoperative diameters of aortic anulus, sinus of valsalva, sinotubular junction, and ascending aorta. Significance was inferred at a probability value <0. 05. buy generic viagra online cheap viagra cheap price canadian pharmacy viagra no prescription viagra online without prescription canada viagra sales mail how to buy generic viagra buy generic viagra viagra generica generic viagra generic viagra for sale online Previous section next section results survival and cardiovascular events during follow-up, there was 1 sudden death at home 13 months after operation in a patient with moderate autograft regurgitation at latest echocardiographic evaluation. The overall survival was 99â±1% at 1 and 98â±2% at 5 and 7 years. No adverse cardiovascular events, other than reoperation on the autograft as described below, were recorded in any of the patients during follow-up, including congestive heart failure, myocardial ischemia, hemorrhage, thromboembolism, and endocarditis. Eighty nine patients (99%) are new york heart association class i and all have resumed normal lifestyles, including regular schooling (children and adolescents) or employment (adults). Autograft dilatation overall aortic root diameters showed only slight increase at follow-up when compared with preoperative values (left ventricular-aortic junction: 27â±5 versus 29â±4 mm; sinus of valsalva: 35â±8 versus 38â±7 mm; sinotubular junction: 34â±8 versus 37â±6 mm; ascending aorta: 36â±8 versus 37â±5 mm). However, when the results were stratified according to operative technique, patients receiving freestanding root replacement demonstrated significant increase at all aortic root levels (table 2). In this subset of patients, remodeling of the aortic root with equalization of sinus of valsalva, sinotubular junction and ascending aortic dimensions was an almost uniform finding, as evident in table 2. On the contrary, in patients undergoing the cylinder inclusion technique significant decrease in diameter at the sinus of valsalva (40â±8 versus 35â±6 mm, p=0. 01) and ascending aorta (42â±8 versus 34â±5 mm, p=0. 002) level was identified (reverse remodeling). Thirty one patients (34%) showed significant aortic root dilatation: in 4 (4%) patients root diameters were compatible with aortic aneurysm (5. 0 to 5. 5 cm), which would ordinarily be dealt with by elective resection. Freedom from root dilatation was 99â±1%, 65â±7%, and 42â±8% at 1, 5, and 7 years, respectively (figure 1). Progression of. Copyright Government Action & Communication Institute 2009