Repair of insufficient bicuspid aortic valves

Fraser, Charles D.; Wang, Nan; Mee, Roger B.B.; Lytle, Bruce W.; McCarthy, Patrick M.; Sapp, Shelly; Rosenkranz, Eliot R.; Cosgrove, Delos M.

doi:10.1016/0003-4975(94)92212-8

Cited by 81 publications

(47 citation statements)

References 17 publications

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“…14 Therefore, it is possible that surgery would offer a greater benefit in selected subsets of patients. However, even though some have attempted to repair these valves surgically, 34,35 it seems that these valves require valve replacement early regardless of the approach. 36 Therefore, the high reintervention rate in this type of aortic valve may suggest an even stronger argument for AoVP as the initial palliation for patients with congenital aortic valve stenosis because it avoids the risk of reoperation in a patient in whom reintervention is almost certain.…”

Section: Discussionmentioning

confidence: 99%

Aortic Valvuloplasty in Pediatric Patients Substantially Postpones the Need for Aortic Valve Surgery

et al. 2008

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Background-Aortic valvuloplasty (AoVP) is an established procedure regarded as a valid alternative for surgical management of congenital aortic valve stenosis. However, its long-term efficacy in preventing or postponing aortic valve surgery remains uncertain for the individual patient. Therefore, the aim of this study was to study the long-term results of AoVP in pediatric patients and its efficacy in preventing or postponing aortic valve surgery. Methods and Results-We reviewed up to 17.5 years of follow-up data of all 188 patients who received AoVP at the Deutsches Herzzentrum München. The patients were divided into those Ͻ1 month of age (group Ͻ1 month; nϭ68) and those Ն1 month of age (group Ն1 month; nϭ120) at the time of AoVP. After the first and second AoVP, moderate and severe aortic regurgitation developed in 29% and 14%, respectively, of the patients in group Ͻ1 month and in 19% and 29%, respectively, of the patients in group Ն1 month. Survival after 10 years free from aortic valve surgery was 59% (95% confidence interval, 45 to 73) in group Ͻ1 month and 70% (95% confidence interval, 59 to 81) in group Ն1 month. Conclusions-This

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Section: Discussionmentioning

confidence: 99%

Aortic Valvuloplasty in Pediatric Patients Substantially Postpones the Need for Aortic Valve Surgery

et al. 2008

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“…Se existe perda de sustentação de uma ou mais comissuras da válvula aórtica, a mesma deverá ser ressuspendida a partir do reparo dos ângulos comissurais, antes da inserção do enxerto reto. Entretanto, se não há possibilidade de correção da insuficiência aórtica pela valvoplastia ou se a válvula aórtica é bicúspide, deve-se proceder à substituição por uma prótese, antes do implante supracomissural do enxerto [6][7][8] , embora alguns autores relatem sucesso com o reparo de válvulas bicúspides 9 .…”

Section: Dissecções Agudas Da Aortaunclassified

Diretrizes para a cirurgia das doenças da aorta

Albuquerque¹,

Palma²,

Braile³

et al. 2004

Arq. Bras. Cardiol.

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“…So far, the clinically and echocardiographically apparent prolapse of the fused cusp has been considered the main pathomechanism of aortic regurgitation in BAVs. 19,31 The first repair approaches focused on correcting the prolapse of the fused cusp by shortening its free margin. The prolapse, however, was defined by visual inspection (ie, the fact that the fused free margin was apparently longer than that of the "normal" cusp).…”

Section: Aicher Et Al Valve Configuration In Bicuspid Aortic Valvesmentioning

confidence: 99%

Valve Configuration Determines Long-Term Results After Repair of the Bicuspid Aortic Valve

et al. 2011

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Background-Reconstruction of the regurgitant bicuspid aortic valve has been performed for Ͼ10 years, but there is limited information on long-term results. We analyzed our results to determine the predictors of suboptimal outcome. November 1995 and December 2008, 316 patients (age, 49Ϯ14 years; male, 268) underwent reconstruction of a regurgitant bicuspid aortic valve. Intraoperative assessment included extent of fusion, root dimensions, circumferential orientation of the 2 normal commissures (Ͼ160°, Յ160°), and effective height after repair. Cusp pathology was treated by central plication (nϭ277), triangular resection (nϭ138), or pericardial patch (nϭ94). Root dilatation was treated by subcommissural plication (nϭ100), root remodeling (nϭ122), or valve reimplantation (nϭ2). All patients were followed up echocardiographically (cumulative follow-up, 1253 years; mean, 4Ϯ3.1 years). Clinical and morphological parameters were analyzed for correlation with 10-year freedom from reoperation with the Cox proportional hazards model. Hospital mortality was 0.63%; survival was 92% at 10 years. Freedom from reoperation at 5 and 10 years was 88% and 81%; freedom from valve replacement, 95% and 84%. Methods and Results-Between

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Repair of insufficient bicuspid aortic valves

Cited by 81 publications

References 17 publications

Aortic Valvuloplasty in Pediatric Patients Substantially Postpones the Need for Aortic Valve Surgery

Aortic Valvuloplasty in Pediatric Patients Substantially Postpones the Need for Aortic Valve Surgery

Diretrizes para a cirurgia das doenças da aorta

Valve Configuration Determines Long-Term Results After Repair of the Bicuspid Aortic Valve

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