Should root replacement with aortic valve-sparing be offered to patients with bicuspid valves or severe aortic regurgitation?
Bicuspid Aortic Valve is the name given to this condition is a congenital deformity. The normal aortic valve has three cusps in an attempt to manage the flow of blood through the heart. Whereas bicuspid heart valve has only two of these three cusps.
A bicuspid aortic valve can be diagnosed by echocardiography (ECHO), the echo is an ultrasound of the heart. There is a possibility that it may have a premolar, but often do not even need surgery or anything about it. Much of the time did not even know you. Go to a cardiologist to see if you have it.
Objective: To examine the results of root replacement with aortic valve-sparing in patients with bicuspid aortic valve (BAV) or severe aortic regurgitation (AR). Methods: Between 2000 and 2009, 102 patients (mean age 47+/-17.5 years) underwent aortic valve-sparing procedures for ascending aortic aneurysm or dissection. Patients were assigned to three different groups according to the aortic valve pathology: BAV (n=11), tricuspid aortic valve (TAV) with AR less than severe (n=51), and TAV with severe AR (n=40). Remodelling of the aortic root was performed in 28 (27.5%) patients, reimplantation of the aortic valve in 74 (72.5%) and a concomitant cusp repair in 30 (29.4%). All patients were prospectively studied with annual clinical assessment and echocardiography. Results: The overall actuarial 5-years’ survival was 97.8+/-1.5% without differences between the groups. Actuarial 5-years’ freedom from aortic valve-related re-operation was 92.2+/-3.2% in all patients, 100% in patients with a
OBJECTIVE: To examine the results of root replacement with aortic valve-sparing in patients with bicuspid aortic valve (BAV) or severe aortic regurgitation (AR). METHODS: Between 2000 and 2009, 102 patients (mean age 47±17.5 years) underwent aortic valve-sparing procedures for ascending aortic aneurysm or dissection. Patients were assigned to three different groups according to the aortic valve pathology: BAV (n=11), tricuspid aortic valve (TAV) with AR less than severe (n=51), and TAV with severe AR (n=40). Remodelling of the aortic root was performed in 28 (27.5%) patients, reimplantation of the aortic valve in 74 (72.5%) and a concomitant cusp repair in 30 (29.4%). All patients were prospectively studied with annual clinical assessment and echocardiography. RESULTS: The overall actuarial 5-years’ survival was 97.8±1.5% without differences between the groups. Actuarial 5-years’ freedom from aortic valve-related re-operation was 92.2±3.2% in all patients, 100% in patients with a BAV,
