AORTLANTIC: French registry of aortic valve-sparing root replacement, preliminary multicentre results from western France.
Interact Cardiovasc Thorac Surg
; 35(5)2022 10 10.
Article
en En
| MEDLINE
| ID: mdl-36173328
ABSTRACT
OBJECTIVES:
Aortic root aneurysms often affect younger patients in whom valve-sparing surgery is challenging. Among current techniques, aortic valve-sparing root replacement described by Tirone David has shown encouraging results. The AORTLANTIC registry was instituted for a multicentre long-term evaluation of this procedure. The current initial study evaluates the hospital outcomes of the procedure.METHODS:
This is a retrospective study of patients operated between 1 January 2004 and 31 December 2020 in 6 hospitals in western France. All study data were recorded in the national digital database of the French Society of Cardiac Surgery EPICARD.RESULTS:
A total of 524 consecutive patients with a mean age of 53 (15.1) years underwent surgery. 13% (n = 68) of patients presented with acute aortic dissection, 16.5% (n = 86) had associated connective tissue pathology and 7.3% (n = 37) had bicuspid aortic valves. Preoperative aortic regurgitation (AR) ≥2/4 was present in 65.3% (n = 341) of patients. Aortic valvuloplasty was required in 18.6% (n = 95) of patients. At discharge, 92.8% (n = 461) of patients had no or 1/4 AR. The stroke rate was 1.9% (n = 10). Intra-hospital mortality was 1.9% (n = 10).CONCLUSIONS:
The AORTLANTIC registry includes 6 centres in western France with >500 patients. Despite numerous complex cases (acute aortic dissections, bicuspid aortic valves, preoperative AR), aortic valve-sparing root replacement has a low intra-hospital mortality. The initial encouraging results of this multicentre study warrant further long-term evaluation by future studies.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Insuficiencia de la Válvula Aórtica
/
Implantación de Prótesis Vascular
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Enfermedad de la Válvula Aórtica Bicúspide
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Disección Aórtica
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
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Middle aged
Idioma:
En
Año:
2022
Tipo del documento:
Article