Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?

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dc.contributor.authorDias, Ricardo Ribeiro
dc.contributor.authorDuncan, José Augusto
dc.contributor.authorde Souza Dinato, Fabrício José
dc.contributor.authorAraújo, Lucas Lacerda
dc.contributor.authorIssa, Hugo Monteiro Neder
dc.contributor.authorFernandes, Fábio
dc.contributor.authorMady, Charles
dc.contributor.authorJatene, Fábio Biscegli
dc.date.accessioned2024-05-16T12:21:39Z
dc.date.available2024-05-16T12:21:39Z
dc.date.issued2017
dc.description.abstractOBJECTIVES: The effect of performing aortic valve repair in combination with valve-sparing operation on the length of time for which patients are free from reoperation is unclear. The objective of this study was to determine if the performance of aortic valve repair during valve-sparing operation modified the freedom from reoperation time. METHODS: From January 2003 to July 2014, 78 patients with a mean age of 49±15 years underwent valve-sparing operation. Sixty-eight percent of these patients were male. Twenty-two (28%) aortic valve repair procedures were performed in this patient population. In the aortic valve repair + valve-sparing operation group, 77.3% of patients had moderate/severe aortic insufficiency, while in the valve-sparing operation group, 58.6% of patients had moderate/severe aortic insufficiency (ns = not significant). Additionally, 13.6% of patients in the aortic valve repair + valve-sparing operation group had functional class III/IV, while 14.2% of patients in the valve-sparing operation group had functional class III/IV (ns). RESULTS: The in-hospital and late mortality rates, for the aortic valve repair + valve-sparing operation and valve-sparing operation groups were similar, as they were 4.5% and 3.6%; and 0% and 1.8%, respectively. In the aortic valve repair + valve-sparing operation group, 0% of patients presented moderate/severe aortic insufficiency during late follow-up, while in the valve-sparing operation group, 14.2% of patients presented with moderate/severe aortic insufficiency during this period (ns). In the aortic valve repair + valve-sparing operation group, 5.3% of patients presented with functional class III/IV, while in the valve-sparing operation group, 4.2% of patients presented with functional class III/IV (ns). In the aortic valve repair + valve-sparing operation group, 0% of patients required reoperation, while in the valve-sparing operation group, 3.6% of patients required reoperation over a mean follow-up period of 1621±1156 days (75 patients). CONCLUSION: Valve-sparing operation is a safe and long-lasting procedure and performance of aortic valve repair when necessary does not increase risk of reoperation on the aortic valve.
dc.identifier.doi10.6061/clinics/2017(04)03
dc.identifier.issn1807-5932
dc.identifier.otherS1807-59322017000400207-scl
dc.identifier.urihttps://repositorio-aptaregional.agricultura.sp.gov.br/handle/123456789/1576
dc.relation.ispartofClinics
dc.subjectAortic Diseases
dc.subjectAorta Thoracic
dc.subjectCardiac Surgical Procedures
dc.subjectAortic Aneurysm
dc.subjectThoracic
dc.subjectAortic Valve
dc.titleDoes aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
dc.typeArtigos
oaire.citation.endPage212
oaire.citation.issue4
oaire.citation.startPage207
oaire.citation.volume72

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