Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
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Citações na Scopus
2
Tipo de produção
article
Data de publicação
2017
Título da Revista
ISSN da Revista
Título do Volume
Editora
HOSPITAL CLINICAS, UNIV SAO PAULO
Citação
CLINICS, v.72, n.4, p.207-212, 2017
Resumo
OBJECTIVES: 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.
Palavras-chave
Aortic Diseases, Aorta Thoracic, Cardiac Surgical Procedures, Aortic Aneurysm, Thoracic, Aortic Valve
Referências
- Albes JM, 2005, ANN THORAC SURG, V80, P1540, DOI 10.1016/j.athoracsur.2005.02.010
- Boodhwani M, 2009, J THORAC CARDIOV SUR, V137, P286, DOI 10.1016/j.jtcvs.2008.08.054
- DAVID TE, 1992, J THORAC CARDIOV SUR, V103, P617
- David TE, 2014, J THORAC CARDIOV SUR, V148, P872, DOI 10.1016/j.jtcvs.2014.04.048
- de Kerchove L, 2009, CIRCULATION, V120, pS120, DOI 10.1161/CIRCULATIONAHA.108.841445
- Dias RR, 2013, ARQ BRAS CARDIOL, V101, P528, DOI 10.5935/abc.20130203
- Dias RR, 2010, REV BRAS CIR CARDIOV, V25, P491, DOI 10.1590/S0102-76382010000400012
- Dias RR, 2010, REV BRAS CIR CARDIOV, V25, P66, DOI 10.1590/S0102-76382010000100015
- Komiya Tatsuhiko, 2015, Gen Thorac Cardiovasc Surg, V63, P309, DOI 10.1007/s11748-015-0523-1
- Lamana FD, 2015, REV BRAS CIR CARDIOV, V30, P343, DOI 10.5935/1678-9741.20150028
- Miyahara S, 2013, J HEART VALVE DIS, V22, P509
- Sampson Uchechukwu K A, 2014, Glob Heart, V9, P171, DOI 10.1016/j.gheart.2013.12.010
- Schafers HJ, 2002, ANN THORAC SURG, V74, pS1762, DOI 10.1016/S0003-4975(02)04136-X
- YACOUB M, 1983, CIRCULATION, V68, P321