Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
| Autor: | Lucas Araujo, Fabrício José Dinato, Fabio Biscegli Jatene, Fábio Fernandes, José Augusto Duncan, Hugo Monteiro Neder Issa, Ricardo Ribeiro Dias, Charles Mady |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
Aortic valve Time Factors Aortic root medicine.medical_treatment Thoracic Heart Valve Diseases 030204 cardiovascular system & hematology Aortic aneurysm 0302 clinical medicine Aortic valve repair Thoracic aorta 030212 general & internal medicine lcsh:R5-920 integumentary system Mortality rate General Medicine Middle Aged Clinical Science Aortic Aneurysm Survival Rate Treatment Outcome medicine.anatomical_structure Aorta Thoracic Replantation Aortic Valve Cardiology Female lcsh:Medicine (General) Adult Reoperation medicine.medical_specialty Aortic Valve Insufficiency Operative Time Aortic Diseases 03 medical and health sciences medicine.artery Internal medicine medicine Humans Cardiac Surgical Procedures Survival rate Aged business.industry Plastic Surgery Procedures medicine.disease Surgery business Organ Sparing Treatments Follow-Up Studies |
| Zdroj: | Clinics, Vol 72, Iss 4, Pp 207-212 Clinics; v. 72 n. 4 (2017); 207-212 Clinics; Vol. 72 Núm. 4 (2017); 207-212 Clinics; Vol. 72 No. 4 (2017); 207-212 Clinics Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 72, Issue: 4, Pages: 207-212, Published: APR 2017 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVES: The effect of performing aortic valve repair in combination with valve-sparing operation on the length of time for which patients are free from reoperation is unclear. The objective of this study was to determine if the performance of aortic valve repair during valve-sparing operation modified the freedom from reoperation time. METHODS: From January 2003 to July 2014, 78 patients with a mean age of 49±15 years underwent valve-sparing operation. Sixty-eight percent of these patients were male. Twenty-two (28%) aortic valve repair procedures were performed in this patient population. In the aortic valve repair + valve-sparing operation group, 77.3% of patients had moderate/severe aortic insufficiency, while in the valve-sparing operation group, 58.6% of patients had moderate/severe aortic insufficiency (ns = not significant). Additionally, 13.6% of patients in the aortic valve repair + valve-sparing operation group had functional class III/IV, while 14.2% of patients in the valve-sparing operation group had functional class III/IV (ns). RESULTS: The in-hospital and late mortality rates, for the aortic valve repair + valve-sparing operation and valve-sparing operation groups were similar, as they were 4.5% and 3.6%; and 0% and 1.8%, respectively. In the aortic valve repair + valve-sparing operation group, 0% of patients presented moderate/severe aortic insufficiency during late follow-up, while in the valve-sparing operation group, 14.2% of patients presented with moderate/severe aortic insufficiency during this period (ns). In the aortic valve repair + valve-sparing operation group, 5.3% of patients presented with functional class III/IV, while in the valve-sparing operation group, 4.2% of patients presented with functional class III/IV (ns). In the aortic valve repair + valve-sparing operation group, 0% of patients required reoperation, while in the valve-sparing operation group, 3.6% of patients required reoperation over a mean follow-up period of 1621±1156 days (75 patients). CONCLUSION: Valve-sparing operation is a safe and long-lasting procedure and performance of aortic valve repair when necessary does not increase risk of reoperation on the aortic valve. |
| Databáze: | OpenAIRE |
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