Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDIAS, Ricardo Ribeiro
dc.contributor.authorDUNCAN, Jose Augusto
dc.contributor.authorDINATO, Fabricio Jose de Souza
dc.contributor.authorARAUJO, Lucas Lacerda
dc.contributor.authorISSA, Hugo Monteiro Neder
dc.contributor.authorFERNANDES, Fabio
dc.contributor.authorMADY, Charles
dc.contributor.authorJATENE, Fabio Biscegli
dc.date.accessioned2017-06-09T15:31:30Z
dc.date.available2017-06-09T15:31:30Z
dc.date.issued2017
dc.description.abstractOBJECTIVES: 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.
dc.description.indexMEDLINE
dc.identifier.citationCLINICS, v.72, n.4, p.207-212, 2017
dc.identifier.doi10.6061/clinics/2017(04)03
dc.identifier.eissn1980-5322
dc.identifier.issn1807-5932
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/19983
dc.language.isoeng
dc.publisherHOSPITAL CLINICAS, UNIV SAO PAULO
dc.relation.ispartofClinics
dc.rightsopenAccess
dc.rights.holderCopyright HOSPITAL CLINICAS, UNIV SAO PAULO
dc.subjectAortic Diseases
dc.subjectAorta Thoracic
dc.subjectCardiac Surgical Procedures
dc.subjectAortic Aneurysm
dc.subjectThoracic
dc.subjectAortic Valve
dc.subject.othersurgery
dc.subject.otherreplacement
dc.subject.otheroperations
dc.subject.otherimpact
dc.subject.wosMedicine, General & Internal
dc.titleDoes aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcRICARDO RIBEIRO DIAS
hcfmusp.contributor.author-fmusphcJOSE AUGUSTO DUNCAN SANTIAGO
hcfmusp.contributor.author-fmusphcFABRICIO JOSE DE SOUZA DINATO
hcfmusp.contributor.author-fmusphcLUCAS LACERDA ARAUJO
hcfmusp.contributor.author-fmusphcHUGO MONTEIRO NEDER ISSA
hcfmusp.contributor.author-fmusphcFABIO FERNANDES
hcfmusp.contributor.author-fmusphcCHARLES MADY
hcfmusp.contributor.author-fmusphcFABIO BISCEGLI JATENE
hcfmusp.description.beginpage207
hcfmusp.description.endpage212
hcfmusp.description.issue4
hcfmusp.description.volume72
hcfmusp.origemWOS
hcfmusp.origem.pubmed28492719
hcfmusp.origem.scieloSCIELO:S1807-59322017000400207
hcfmusp.origem.scopus2-s2.0-85019051495
hcfmusp.origem.wosWOS:000401008800003
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-10
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