| Early results of valve-sparing reimplantation procedure using the Valsalva conduit: a multicenter study. | |
| | |
MedLine Citation:
|
PMID: 16928499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study evaluates the midterm clinical results of valve-preserving aortic root reconstruction by means of a modified conduit incorporating sinuses of Valsalva. METHODS: During a 5-year period, 151 patients with aneurysm of the aortic root underwent a reimplantation type of valve-sparing procedure using the Gelweave Valsalva prosthesis that incorporates sinuses of Valsalva. There were 121 males (80.1%), and the mean age was 56.4 +/- 14.4 years (range, 14 to 83). Fourteen percent of the patients had Marfan syndrome and 8.6% had bicuspid aortic valve. Seven patients (4.6%) suffered from acute aortic dissection. Aortic replacement was extended to the arch in 14 patients (9.3%). Sixteen patients (10.6%) had associated cusp repair. RESULTS: In-hospital mortality was 3.3%, and it was significantly higher among patients operated on for acute dissection (p = 0.001) and in symptomatic patients (III-IV New York Heart Association class; p = 0.021). Follow-up (mean, 18 months; range, 1 to 60) was 100% complete. There were 2 late deaths. Ten patients (6.8%) had 3 to 4+ aortic regurgitation, and 8 of these required late aortic valve replacement. Cusp repair was associated with a high incidence of late aortic valve replacement (p = 0.005). At 5 years, freedom from aortic valve replacement and freedom from grade 3 to 4 aortic insufficiency was 90.8% +/- 3.3% and 88.7% +/- 3.6%, respectively. CONCLUSIONS: The reimplantation valve-sparing procedure with the Gelweave Valsalva prosthesis provides satisfactory results for patients with aortic root aneurysm. Aortic cusp repair may lead to late aortic insufficiency. Proper leaflet evaluation is of paramount importance in preventing residual valve regurgitation. |
| | |
Authors:
|
Davide Pacini; Fabrizio Settepani; Ruggero De Paulis; Antonino Loforte; Saverio Nardella; Diego Ornaghi; Roberto Gallotti; Luigi Chiariello; Roberto Di Bartolomeo |
Related Documents
:
|
20437359 - Latest advances in transcatheter aortic valve implantation. 20718199 - Quadricuspid aortic valve diagnosed by transthoracic echocardiography in childhood. 20022869 - Pitfalls of anatomical aortic valve area measurements using two-dimensional transoesoph... 9330169 - Prediction of stentless aortic bioprosthesis size with transesophageal echocardiography... 16725339 - Twenty years experience of surgical aortic valvotomy for critical aortic stenosis in ea... 20641109 - An asymtomatic unicuspid aortic valve with aortic aneurysm and secundum type atrial sep... 431109 - False aneurysm of right pulmonary artery. new complication of aorta-right pulmonary art... 16418239 - Multi-detector row ct of hemoptysis. 23407289 - Treatment of posterior circulation aneurysms with the pipeline embolization device. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Multicenter Study |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 82 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2006 Sep |
Date Detail:
|
Created Date: 2006-08-24 Completed Date: 2006-09-13 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 865-71; discussion 871-2 Citation Subset: AIM; IM |
Affiliation:
|
Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna. dpacini@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Aneurysm, Dissecting / surgery Aorta / surgery* Aortic Aneurysm / etiology, surgery* Aortic Valve / abnormalities, surgery* Aortic Valve Insufficiency / epidemiology Cardiac Output, Low / etiology, mortality Equipment Design Female Follow-Up Studies Hospital Mortality Humans Intestines / blood supply Ischemia / etiology, mortality Male Marfan Syndrome / complications, surgery Middle Aged Multiple Organ Failure / etiology, mortality Postoperative Complications / mortality Prosthesis Failure Replantation* / methods, statistics & numerical data Sinus of Valsalva / surgery* Survival Analysis Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: How to deal with recipients of valves prone to structural failure in the 2000s: Padua experience wit...
Next Document: Endovascular repair of thoracic aortic tears.