Reduction Aortoplasty for the Ascending Aortic Aneurysm With Aortic Valve Disease  - Does Bicuspid Valve Matter? -

Hwang, Ho Young; Shim, Mi-Suk; Park, Eun‐Ah; Ahn, Hyuk

doi:10.1253/circj.cj-10-0792

Cited by 15 publications

(16 citation statements)

References 22 publications

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“…During our follow-up study, the mean expansion degree and rate of ascending aorta were 0.39 AE 0.26 cm and 1.3 AE 0.8 mm/year, respectively, in patients with aortic redilatation. The results are comparable with those of other studies [23][24][25][26]. Significant differences between the postoperative and follow-up ascending aortic diameters were found in BAV group (35.5 AE 4.6 mm vs 37.0 AE 5.0 mm; P ¼ 0.009), which suggested that the close connection between BAV and aortic dilatation may lead to those differences [27][28][29].…”

Section: Commentsupporting

confidence: 88%

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience

Liu

Shi

Liu

et al. 2017

The Annals of Thoracic Surgery

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Section: Commentsupporting

confidence: 88%

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience

Liu

Shi

Liu

et al. 2017

The Annals of Thoracic Surgery

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“…34 Hwang et al reported reduction aortoplasty without aortic wrapping and acceptable long-term outcomes. 35 …”

Section: Choi Ms Et Almentioning

confidence: 99%

Aortic Wrapping for a Dilated Ascending Aorta in Bicuspid Aortic Stenosis

Choi

Jeong

Lee

et al. 2015

Circ J

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“…Given the statistically significant difference in distribution of age, sex, hypertension, and diabetes between BAV and TAV patients, all the analyses have been repeated after including only studies enrolling patients comparable for all these variables . Interestingly, the difference in prevalence of CAD (OR, 0.65; 95% CI, 0.33, 1.26; P =0.20) and mortality rate (OR, 1.77; 95% CI, 0.81, 3.87; P =0.15) were no longer significant.…”

Section: Resultsmentioning

confidence: 99%

Impact of Valve Morphology on the Prevalence of Coronary Artery Disease: A Systematic Review and Meta‐Analysis

Poggio

Cavallotti

Songia

et al. 2016

JAHA

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BackgroundLiterature studies suggested a lower prevalence of coronary artery disease (CAD) in bicuspid aortic valve (BAV) than in tricuspid aortic valve (TAV) patients. However, this finding has been challenged. We performed a meta‐analysis to assess whether aortic valve morphology has a different association with CAD, concomitant coronary artery bypass grafting (CABG), and postoperative mortality.Methods and ResultsDetailed search was conducted according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta‐Analyses) guideline to identify all patients with BAV or TAV and presence of CAD, concomitant myocardial surgical revascularization, and the postoperative mortality. Thirty‐one studies on 3017 BAV and 4586 TAV patients undergoing aortic valve surgery were included. BAV patients showed a lower prevalence of CAD (odds ratio [OR]: 0.33; 95% CI: 0.17, 0.65), concomitant CABG (OR, 0.45; 95% CI: 0.35, 0.59), and postoperative mortality (OR, 0.62; 95% CI: 0.40, 0.97) than TAV. However, BAV subjects were significantly younger than TAV (mean difference: −7.29; 95% CI: −11.17, −3.41) were more frequently males (OR, 1.61; 95% CI: 1.33, 1.94) and exhibited a lower prevalence of hypertension (OR, 0.58; 95% CI: 0.39, 0.87) and diabetes (OR, 0.71; 95% CI: 0.54, 0.93). Interestingly, a metaregression analysis showed that younger age and lower prevalence of diabetes were associated with lower prevalence of CAD (Z value: −3.03; P=0.002 and Z value: −3.10; P=0.002, respectively) and CABG (Z value: −2.69; P=0.007 and Z value: −3.36; P=0.001, respectively) documented in BAV patients.ConclusionsAnalysis of raw data suggested an association of aortic valve morphology with prevalence of CAD, concomitant CABG, and postoperative mortality. Interestingly, the differences in age and diabetes have a profound impact on prevalence of CAD between BAV and TAV. In conclusion, our meta‐analysis suggests that the presence of CAD is independent of aortic valve morphology.

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Reduction Aortoplasty for the Ascending Aortic Aneurysm With Aortic Valve Disease - Does Bicuspid Valve Matter? -

Cited by 15 publications

References 22 publications

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience

Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s Experience

Aortic Wrapping for a Dilated Ascending Aorta in Bicuspid Aortic Stenosis

Impact of Valve Morphology on the Prevalence of Coronary Artery Disease: A Systematic Review and Meta‐Analysis

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