Clinical and Echocardiographic Outcomes After Aortic Valve Repair Surgery

Ram, Eilon; Orlov, Boris; Shinfeld, Ami; Kogan, Alexander; Sternik, Leonid; Raanani, Ehud

doi:10.1177/1556984519845657

Cited by 4 publications

(3 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although none of the individuals in our study group had a persistent ductus arteriosus, our meta-analysis identified a rate of 3.3% in bicuspid aortic valve disease. However, the number of children was high in studies that support a high prevalence of persistent ductus arteriosus (39,50), whereas collectives with age ranges similar to ours showed a prevalence of 1.3% (37,52). Atrial septal defect is diagnosed with a 0.016% prevalence (1.64/10,000 live births) worldwide (60).…”

Section: Discussionsupporting

confidence: 53%

Concomitant cardiovascular malformations in isolated bicuspid aortic valve disease: a retrospective cross-sectional study and meta-analysis

Szöcs¹,

Toprak²,

Schön³

et al. 2022

Cardiovasc Diagn Ther

View full text Add to dashboard Cite

Background: Congenital bicuspid aortic valve affects up to 2% of the general population. It occurs in complex congenital heart defects or in syndromes such as Turner, Marfan, or Loeys-Dietz. However, the majority of bicuspid aortic valves are considered to manifest as isolated malformations. Methods:We aimed to assess retrospectively associated cardiovascular malformations in 200 individuals with bicuspid aortic valve considered to occur as an isolated manifestation. All individuals underwent transthoracic echocardiography, 164 thoracoabdominal tomographic imaging, and 84 coronary artery imaging. In addition, we also performed a meta-analysis of data from the literature to assess the occurrence of associate malformations.Results: In our retrospective cross-sectional study collective, the mean age was 45±15 years, 154 (77%) individuals were male. Anatomy of bicuspid aortic valve according to Schaefer was type 1 in 142 (71%), type 2 in 35 (18%), type 3 in 2 (1%), unicuspid in 6 (3%), and unclassified in 15 (8%) individuals. Coarctation of the aorta had 4.2% of individuals, 3.6% had coronary anomalies. No individual had a patent ductus arteriosus, 0.5% had atrial and ventricular septal defect each, 1.5% mitral valve prolapse. No individual had a tricuspid valve prolapse. Our meta-analysis identified in cohorts with isolated bicuspid aortic valve 11.8% (95% CI: 7.7-16.0%) individuals with aortic coarctation, 3.7% (95% CI: 1.2-6.1%) with coronary anomalies, 3.3% (95% CI: 0.0-6.7%) with patent ductus arteriosus, 5.9% (95% CI: 1.3-10.5%) with ventricular septal defect and 1.6% (95% CI: 1.1-2.1%) with mitral valve prolapse.Conclusions: Individuals with isolated bicuspid aortic valve may exhibit a variety of associated cardiovascular malformations and therefore screening for associated malformations may be warranted.

show abstract

Section: Discussionsupporting

confidence: 53%

Concomitant cardiovascular malformations in isolated bicuspid aortic valve disease: a retrospective cross-sectional study and meta-analysis

Szöcs¹,

Toprak²,

Schön³

et al. 2022

Cardiovasc Diagn Ther

View full text Add to dashboard Cite

show abstract

“…As to BAV patients, Aicher et al [ 27 ] report 5-year freedom from the reintervention rate of 88% and the 10-year rate of 81%, whereas Ram et al [ 28 ] identify BAV as an independent risk factor for reintervention. In the TAV patients, our results are similar to those published by de Kerchove et al [ 25 ], who report freedom from reintervention of 92 ± 5%.…”

Section: Discussionmentioning

confidence: 99%

Comparison of bicuspid and tricuspid aortic valve repair

Gocoł

Bis

Malinowski

et al. 2020

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

OBJECTIVES The aim of this study was to compare the outcomes of tricuspid aortic valve (TAV) and bicuspid aortic valve (BAV) repair. METHODS We assessed mortality, freedom from reoperation and the rate of aortic valve regurgitation recurrence. Mortality in both groups was compared with expected survival, and risk factors for reoperation were identified. RESULTS From January 2010 to April 2020, a total of 368 elective aortic valve repair procedures were performed, including 223 (60.6%) in patients with TAV. The perioperative mortality was 0.7% in the BAV group and 3.6% in the TAV group (P = 0.079). Estimated survival at 5 years in the BAV versus TAV group was 97 ± 3% vs 80 ± 6%, respectively (P < 0.001). Freedom from reoperation at 5 years in the TAV versus BAV group was 96 ± 3% vs 93 ± 4%, respectively (P = 0.28). Grade 2 or more aortic valve regurgitation was noted in 9.9% of BAV patients and 11% of TAV patients (P = 0.66). Reoperation was predicted by cusp perforation [hazard ratio 15.86 (4.44–56.61); P < 0.001], the use of pericardial patch [hazard ratio 8.58 (1.96–37.53); P = 0.004] and aortic valve annulus diameter >27.5 mm [hazard ratio 3.07 (0.99–9.58); P = 0.053]. CONCLUSIONS BAV repair is as durable as TAV repair. BAV is not a predictor of a higher rate of reoperations. BAV repair yields survival comparable to expected. Cusp perforation, aortic valve annulus diameter >27.5 mm and the use of pericardial patch adversely impact long-term outcome of aortic valve repair.

show abstract

“…Surgical decision or management strategies were subsequently based on the aortic dilatation classifications [5,6]. Recommendations for the surgical management of dilatation and aneurysm of the ascending aorta in cases of BAV associated aortopathy are clearly stated in the treatment guidelines but still void of specifics [7,8]. This method basically involves resection and replacement of the aneurysmal aorta with a vascular graft.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of mild to moderately dilated ascending aorta in bicuspid aortic valve aortopathy: the art of safety and simplicity

Zhu

Zhou

Xiao

et al. 2020

J Cardiothorac Surg

View full text Add to dashboard Cite

Background: Evaluate the safety and efficacy of our modified technique of the extravascular procedure for treating mild to moderately dilated ascending aorta in patients with bicuspid aortic valve (BAV) aortopathy. Methods: From January 2015 to December 2018,119 consecutive patients with BAV and ascending aorta dilatation (dimension 40 mm~45 mm) were diagnosed in our institution. Among these,49 patients received aggressive aortic valve replace (AVR) + ascending aorta wrapped (wrapped group) while the other 70 patients received AVR + ascending aorta replacement (wheat group). All patients clinical and follow up data were collected for 12 months. Results: Aortic clamping and cardio-pulmonary bypass times were significantly longer in wheat group than wrap group (P < 0.001and 0.021,respectively). The first 24 h drainage in wheat group were much more than wrap group(P = 0.04). Ascending aorta diameter、left ventricular end diameter and ejection fraction were statistically different between pre-and post-operation (p < 0.001) in both groups, but the heart function and complication were no difference during follow up. Conclusions: External wrapping of the ascending aorta and wheat procedure have good short-term and long-term results in BAV patients with a mild to moderately dilated ascending aorta. The perioperative period results of external wrapping of the ascending aorta for BAV patients were encouraging.

show abstract

Clinical and Echocardiographic Outcomes After Aortic Valve Repair Surgery

Cited by 4 publications

References 34 publications

Concomitant cardiovascular malformations in isolated bicuspid aortic valve disease: a retrospective cross-sectional study and meta-analysis

Concomitant cardiovascular malformations in isolated bicuspid aortic valve disease: a retrospective cross-sectional study and meta-analysis

Comparison of bicuspid and tricuspid aortic valve repair

Surgical treatment of mild to moderately dilated ascending aorta in bicuspid aortic valve aortopathy: the art of safety and simplicity

Contact Info

Product

Resources

About