Aortic Valve Reconstruction: Why, When, and How?

Albes, JM

doi:10.1055/s-0029-1240618

Cited by 4 publications

(2 citation statements)

References 61 publications

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“…The entire procedure can be done with similar results to those obtained with the valved conduit preserving the native valve and it should be stimulated, even if it is not a procedure either for all surgeons or all patients. [27,28].…”

Section: (42 -80) (Values In Parentheses With a 95% Confidence Intermentioning

confidence: 99%

Análise do tratamento cirúrgico da raiz da aorta com o tubo valvulado e com a preservação da valva aórtica

Dias¹,

Mejía²,

Fiorelli³

et al. 2010

Rev Bras Cir Cardiovasc

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Análise do tratamento cirúrgico da raiz da aorta com o tubo valvulado e com a preservação da valva aórticaAnalysis of aortic root surgery with composite mechanical aortic valve conduit and valve-sparing reconstruction 7. Faculty Member of Cardiovascular Surgery Discipline at InCor-FMUSP; CEO of InCor-FMUSP Hospital.Work performed at the Heart Institute, School of Medicine, University of Sao Paulo (InCor-FMUSP), Sao Paulo, SP, Brazil. Sixteen percent of patients had Marfan syndrome and 4.3% had bicuspid aortic valve. One hundred and forty-four patients (88%) were followed for a mean period of 41.1 ± 20.8 months.Results: The hospital mortality was 4.9%, 5.6% in operations with valved conduits and 2.6% in the valve sparing procedures (P <0.05). There was no difference neither in survival (95% CI = 86% -96%, P= 0.1) nor in reoperationfree survival (95% CI = 85% -90%, P = 0.29). The survival free of complications such as bleeding, thromboembolism and endocarditis were favorable to the valve sparing operations, respectively (95% CI = 70% -95%, P = 0.001), (95% CI = 82% -95% P = 0.03) and (95% CI = 81% -95%, P = 0.03). Multivariate analysis showed that creatinine greater than 1.4 mg/dl, Cabrol operation and renal dialysis were predictors of mortality, respectively, with occurrence chance of 6 (95% CI = 1.8 -19.5, P = 0.003), 12 (95% CI = 3 -49.7, P = 0.0004) and 16 (95% CI = 3.6 -71.3, P = 0.0002).Conclusions: The aortic root reconstruction has a low early and late mortality, high survival free of complications and low need for reoperation. During the late follow-up, valve sparing aortic root reconstructions presented fewer incidences of bleeding, thromboembolic events and endocarditis.Descriptors: Aorta. Aortic aneurysm, thoracic. Aortic valve insufficiency. Aortic valve. DIAS, RR ET AL -Analysis of aortic root surgery with composite mechanical aortic valve conduit and valve-sparing reconstruction Rev Bras Cir Cardiovasc 2010; 25(4): 491-499

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Section: (42 -80) (Values In Parentheses With a 95% Confidence Intermentioning

confidence: 99%

Análise do tratamento cirúrgico da raiz da aorta com o tubo valvulado e com a preservação da valva aórtica

Dias¹,

Mejía²,

Fiorelli³

et al. 2010

Rev Bras Cir Cardiovasc

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show abstract

“…Aortic valve sparing operations were developed to preserve native tricuspid aortic valve without gross structural defects and absence of severe cusp prolapse or assymetry (9). In recent years, surgeons gaining more and more experience and skills and indications were liberally expanded to include older and also younger patients, patients with bicuspid valves, aortic valves with cusp prolapse, Marfan patients, patients with acute type A dissection, endocarditis and reoperation (1,14,26,19,18). Future and longer follow up will show us the best solutions for each of these categories.…”

Section: Introductionmentioning

confidence: 99%