Article ; Online: Aortic Valve Repair of a Stenotic Unicuspid Aortic Valve in Young Patients.
The Annals of thoracic surgery
2018 Volume 105, Issue 5, Page(s) 1351–1356
Abstract: Background: The unicuspid aortic valve (UAV) is a well-described pediatric congenital abnormality, with incidence of 0.02% in the general population. Bicuspidization has been described as a potential surgical option to repair this defect.: Methods: ... ...
Abstract | Background: The unicuspid aortic valve (UAV) is a well-described pediatric congenital abnormality, with incidence of 0.02% in the general population. Bicuspidization has been described as a potential surgical option to repair this defect. Methods: Seventeen symptomatic young patients with a unicuspid valve combined with either valve insufficiency or valve stenosis underwent aortic valve (AV) bicuspidization procedure by using an equine pericardium. In addition to bicuspidization, 8 patients underwent aortic ring implantation and 5 patients underwent supracoronary replacement of the aorta. Results: Our results show safety of the bicuspidization procedure. No deaths occurred during our average follow-up period of 26 months. Freedom from reoperation for any valve-related reason was 100% during this follow-up period. We observed a statistically significant increase in the AV area from 0.8 ± 0.1 cm Conclusions: From our study, bicuspidization is an attractive surgical option to repair UAV, particularly in young patients who do not want to be subjected to long-term anticoagulation therapy or who refuse a more traditional surgical approach, such as Ross procedure, for reasons described previously. |
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MeSH term(s) | Adult ; Age Factors ; Animals ; Aortic Valve/surgery ; Aortic Valve Insufficiency/etiology ; Aortic Valve Insufficiency/surgery ; Aortic Valve Stenosis/etiology ; Aortic Valve Stenosis/surgery ; Bicuspid Aortic Valve Disease ; Bioprosthesis ; Cohort Studies ; Female ; Heart Defects, Congenital/complications ; Heart Defects, Congenital/surgery ; Heart Valve Diseases/complications ; Heart Valve Diseases/surgery ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation ; Horses ; Humans ; Male ; Pericardium ; Treatment Outcome ; Young Adult |
Language | English |
Publishing date | 2018-01-31 |
Publishing country | Netherlands |
Document type | Journal Article |
ZDB-ID | 211007-6 |
ISSN | 1552-6259 ; 0003-4975 |
ISSN (online) | 1552-6259 |
ISSN | 0003-4975 |
DOI | 10.1016/j.athoracsur.2017.12.031 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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