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Early and late-term follow-up results of patients diagnosed with aortic aneurysm or aortic dissection with aortic regurgitation undergoing aortic valve repair or valve-sparing aortic surgery
Yigit, Görkem; Özen, Anil; Çetinkaya, Ferit; Ünal, Ertekin Utku; Iscan, Hakki Zafer; Birincioglu, Cemal Levent; Saritas, Ahmet.
Afiliação
  • Yigit, Görkem; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Özen, Anil; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Çetinkaya, Ferit; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Ünal, Ertekin Utku; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Iscan, Hakki Zafer; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Birincioglu, Cemal Levent; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
  • Saritas, Ahmet; Ankara City Hospital. Department of Cardiovascular Surgery. Ankara. TR
Rev. bras. cir. cardiovasc ; 36(2): 192-200, Mar.-Apr. 2021. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1251087
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Introduction:

Valve-reimplantation and remodelling techniques used in aortic reconstruction provide successful early, mid, and long-term results. We present our early and late-term experience with 110 patients with aortic regurgitation (AR) who underwent aortic valve repair (AVr) or valve-sparing aortic root surgeries (VSARS) due to aortic dissection or aortic aneurysm.

Methods:

Nine hundred eighty-two patients who underwent aneurysm or dissection surgery and aortic valve surgery between April 1997 and January 2017 were analysed using the patient database. A total of 110 patients with AR who underwent AVr or VSARS due to aortic dissection or aortic aneurysm were included in the study.

Results:

In the postoperative period, a decrease was observed in AR compared to the preoperative period (P<0.001); there was an increase in postoperative ejection fraction (EF) compared to the preoperative values (P<0.005) and a significant decrease in postoperative left ventricle diameters compared to the preoperative values (P<0.001). Kaplan-Meier analysis revealed one, two, four, and five-year freedom from moderate-severe AR as 95%, 91%, 87%, and 70%, respectively. Freedom from reoperation in one, two, and five years were 97.9%, 93.6%, and 81%, respectively. Eight patients (7.4%) underwent AVr during follow-up. Out of the remaining 100 patients, 13 (12%) had minimum AR, 52 (48%) had 1st-2nd degree AR, and 35 (32%) had 2nd-3rd degree AR during follow-up.

Conclusion:

For the purpose of maintaining the native valve tissue, preserving the EF and the left ventricular end-diastolic diameter, valve-sparing surgeries should be preferred for appropriate patients.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Aneurisma Aórtico / Insuficiência da Valva Aórtica / Dissecção Aórtica Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Rev. bras. cir. cardiovasc Assunto da revista: Cardiologia / CIRURGIA GERAL Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Turquia Instituição/País de afiliação: Ankara City Hospital/TR

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Aneurisma Aórtico / Insuficiência da Valva Aórtica / Dissecção Aórtica Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Rev. bras. cir. cardiovasc Assunto da revista: Cardiologia / CIRURGIA GERAL Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Turquia Instituição/País de afiliação: Ankara City Hospital/TR
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