The role of neo-sinus reconstruction in aortic valve-sparing surgery.
J Card Surg
; 32(6): 328-333, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-28485110
ABSTRACT
AIMS:
The aim of this study was to evaluate the clinical and echocardiographic results and the predictors of outcomes in patients undergoing valve-sparing operation (VSO) at two aortic centers. In addition, we sought to evaluate the potential effect of recreation of the sinuses of Valsalva (SV) on the outcome of valve-sparing procedures.METHODS:
During a 14-year period, 328 patients underwent aortic valve-sparing root replacement at two institutions. Clinical and echo evaluation was performed 6 months after surgery and every year thereafter or in case of clinical symptoms. Propensity weighting and propensity-weighted risk competing analysis were used.RESULTS:
No operative mortality was reported; the most common complication was revision for bleeding, occurring in 15 patients (4.6%). At a mean follow-up of 30.0 ± 33.9 months, two patients died (0.6%). Recurrent aortic insufficiency (AI) >2+ was found in 11 patients (3.3%); five (1.5%) underwent reoperation. Recreation of the SV did not affect clinical outcome and aortic valve status. Need for aortic valve repair was the only independent predictor of recurrent AI, whereas a bicuspid aortic valve was a protective factor.CONCLUSIONS:
Re-creation of the SV does not affect short-term outcomes following VSO.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Aorta
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Valva Aórtica
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Insuficiência da Valva Aórtica
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Seio Aórtico
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Implante de Prótese Vascular
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Procedimentos de Cirurgia Plástica
/
Tratamentos com Preservação do Órgão
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article