Therapeutic approach comparison in bicuspid aortic valve aortopathy and clinical practice implications
| Autor: | Constantin Caraion, Marian Gaspar, Elian Octavian Boldu, Emil Radu Iacob, Silviu Cristian Suciu, Ciprian Nicuşor Dima, Caius Glad Streian, Lucian Petrescu, Simona Cerbu, Constantin Tudor Luca |
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| Rok vydání: | 2021 |
| Předmět: |
Embryology
medicine.medical_specialty bicuspid aortic valve Aortic Valve Insufficiency Heart Valve Diseases aortopathy Pathology and Forensic Medicine Aortic aneurysm Therapeutic approach Bicuspid aortic valve Bicuspid Aortic Valve Disease Aortic valve replacement medicine.artery Internal medicine Ascending aorta medicine Humans Heart valve Retrospective Studies Heart Valve Prosthesis Implantation Original Paper business.industry aortic stenosis Retrospective cohort study Cell Biology General Medicine aortic insufficiency medicine.disease Clinical Practice medicine.anatomical_structure Aortic Valve cardiovascular system Cardiology reduction ascending aortoplasty business Developmental Biology |
| Zdroj: | Romanian Journal of Morphology and Embryology |
| ISSN: | 2066-8279 1220-0522 |
| DOI: | 10.47162/rjme.61.3.24 |
| Popis: | Bicuspid aortic valve (BAV) is the most common heart valve malformation, and it may be associated with the development of long-term complications, such as aortic stenosis (AS) secondary to valvular calcification and aortic insufficiency (AI), with or without ascending aortic aneurysm (AAA). This study was performed at the Institute of Cardiovascular Diseases, Timişoara, Romania, from 2015 through 2018 and included a total of 105 patients with BAV. Out of the 105 BAV patients, 14 displayed AAA, alongside either AS or AI, and were selected undergo aortic valve replacement (AVR) alongside surgical replacement or aortoplasty of the ascending aorta, and the elastic fiber loss in the ascending aortic wall was evaluated for each patient. Two surgical interventions used alongside AVR in BAV patients with AAA and AS or AI were compared in this study: reduction ascending aortoplasty (RAA) and ascending aorta replacement (AAR). Postoperative follow-ups have shown RAA is useful short-term but that, in contrast to AAR, it leads to aortic redilatation over time. These results can contribute to a major future meta-analysis with the goal of improving the current clinical practice guidelines for BAV aortopathy. |
| Databáze: | OpenAIRE |
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