Comparison of bicuspid and tricuspid aortic valve repair
Autor: | Marek Jasinski, Damian Hudziak, Radosław Gocoł, Łukasz Morkisz, Joanna Ciosek, Marcin Malinowski, Jarosław Bis, Marek A. Deja |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve medicine.medical_specialty Bicuspid aortic valve Aortic Valve Insufficiency Perforation (oil well) 030204 cardiovascular system & hematology Tricuspid aortic valve 03 medical and health sciences 0302 clinical medicine Aortic valve repair Aortic Valve Annulus Internal medicine medicine Humans Aorta Eacts/115 Aortic valve regurgitation Retrospective Studies AcademicSubjects/MED00920 business.industry Hazard ratio General Medicine Perioperative medicine.disease Editor's Choice Treatment Outcome medicine.anatomical_structure 030228 respiratory system Aortic Valve cardiovascular system Cardiology Surgery Cardiology and Cardiovascular Medicine business Conventional Valve Operations Eacts/125 |
Zdroj: | European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery |
ISSN: | 1873-734X 1010-7940 |
Popis: | OBJECTIVES The aim of this study was to compare the outcomes of tricuspid aortic valve (TAV) and bicuspid aortic valve (BAV) repair. METHODS We assessed mortality, freedom from reoperation and the rate of aortic valve regurgitation recurrence. Mortality in both groups was compared with expected survival, and risk factors for reoperation were identified. RESULTS From January 2010 to April 2020, a total of 368 elective aortic valve repair procedures were performed, including 223 (60.6%) in patients with TAV. The perioperative mortality was 0.7% in the BAV group and 3.6% in the TAV group (P = 0.079). Estimated survival at 5 years in the BAV versus TAV group was 97 ± 3% vs 80 ± 6%, respectively (P 27.5 mm [hazard ratio 3.07 (0.99–9.58); P = 0.053]. CONCLUSIONS BAV repair is as durable as TAV repair. BAV is not a predictor of a higher rate of reoperations. BAV repair yields survival comparable to expected. Cusp perforation, aortic valve annulus diameter >27.5 mm and the use of pericardial patch adversely impact long-term outcome of aortic valve repair. |
Databáze: | OpenAIRE |
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