The significance of bicuspid aortic valve after surgery for acute type A aortic dissection
| Autor: | Anders Jeppsson, Anders Ahlsson, Shahab Nozohoor, Christian Olsson, Arnar Geirsson, Vibeke E. Hjortdal, Ari Mennander, Tomas Gudbjartsson, Kati Järvelä, Emma Hansson, Jarmo Gunn |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Adult Male medicine.medical_specialty Time Factors bicuspid aortic valve Databases Factual Aortic Valve Insufficiency Heart Valve Diseases Regurgitation (circulation) 030204 cardiovascular system & hematology Scandinavian and Nordic Countries Risk Assessment 03 medical and health sciences 0302 clinical medicine Bicuspid aortic valve Bicuspid Aortic Valve Disease Postoperative Cognitive Complications Risk Factors medicine Humans Aortic valve regurgitation Aged Retrospective Studies Aortic dissection business.industry acute type A aortic dissection acute aortic valve regurgitation Middle Aged medicine.disease Surgery Aortic Aneurysm Aortic Dissection medicine.anatomical_structure Treatment Outcome 030228 respiratory system Acute type Aortic Valve Propensity score matching Cohort Acute Disease Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | Mennander, A, Olsson, C, Jeppsson, A, Geirsson, A, Hjortdal, V, Hansson, E C, Jarvela, K, Nozohoor, S, Gunn, J, Ahlsson, A & Gudbjartsson, T 2020, ' The significance of bicuspid aortic valve after surgery for acute type A aortic dissection ', The Journal of Thoracic and Cardiovascular Surgery, vol. 159, no. 3, pp. 760-767.e3 . https://doi.org/10.1016/j.jtcvs.2019.03.012 |
| DOI: | 10.1016/j.jtcvs.2019.03.012 |
| Popis: | OBJECTIVE: Decision-making concerning the extent of the repair of acute type A aortic dissection (ATAAD) includes functional and anatomical assessment of the aortic valve. We hypothesized that bicuspid aortic valve (BAV) does not impact outcome after surgery for ATAAD. We therefore evaluated the outcome after ATAAD surgery in relation to the presence of BAV, acute aortic regurgitation (AR), and surgical approach, using the Nordic Consortium for Acute Type A Aortic Dissection database.METHODS: Eight participating Nordic centers collected data from 1122 patients undergoing ATAAD surgery during the years 2005 to 2014. Early complications, reoperations and survival were compared between patients with BAV and tricuspid aortic valves (TAV) before and after propensity score matching for sex, age, AR, organ malperfusion, hemodynamic instability, and site of the tear. Mean follow-up (range) for patients with TAV and BAV was 3.1 years (0-10.4 years) and 3.2 years (0-9.0 years), respectively.RESULTS: Altogether, 65 (5.8%) of the patients had BAV. Root replacement was more frequently performed in the BAV as compared with the TAV group (60% vs 23%, P < .001). Survival, however, did not differ significantly between patients with BAV or TAV, either before (P = .230) or after propensity score-matching (P = .812). Even so, in cohort as a whole, patients presenting with AR had less favorable survival.CONCLUSIONS: Early and mid-term survival did not differ significantly between patients with BAV and TAV. |
| Databáze: | OpenAIRE |
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