Comparison Between Bicuspid and Tricuspid Aortic Regurgitation: Presentation, Survival, and Aorta Complications

Autor: Li-Tan, Yang, Hao-Yun, Lo, Chien-Chang, Lee, Masaaki, Takeuchi, Tzu-Chun, Hsu, Chieh-Mei, Tsai, Hector I, Michelena, Maurice, Enriquez-Sarano, Yih-Sharng, Chen, Wen-Jone, Chen, Yi-Lwun, Ho
Rok vydání: 2021
Zdroj: JACC. Asia. 2(4)
ISSN: 2772-3747
Popis: Although the Asian population is growing globally, data in Asian subjects regarding differences between bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV) in aortic regurgitation (AR) remain unexplored.The aim of this study was to examine differences between Asian BAV-AR and TAV-AR in significant AR, including aorta complications.The study included 711 consecutive patients with chronic moderate to severe and severe AR from 2008 to 2020. Outcomes included all-cause death, aortic valve surgery (AVS), and incidence of aortic dissection (AD).There were 149 BAV-AR (mean age: 48 ± 16 years) and 562 TAV-AR (mean age: 68 ± 15 years;Our findings suggest that TAV-AR patients were at a later stage of AR course and had a high AD rate as opposed to BAV-AR patients in Taiwan, emphasizing the importance of early referral for timely management. Surgery on the aorta with a lower threshold in TAV-AR should be considered.
Databáze: OpenAIRE