| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1994;58:386-390
© 1994 The Society of Thoracic Surgeons
Department of Thoracic and Cardiovascular Surgery and Department of Biostatistics, The Cleveland Clinic Foundation, Cleveland, Ohio USA
* Address reprint requests to Dr Fraser, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue— F25, Cleveland, OH 44195.
A technique for the repair of bicuspid aortic valves that includes resection of the flail segment of the prolapsing leaflet, annuloplasty, and resection of the raphe, when present, has been reported. To assess the efficacy of this technique in the repair of insufficient bicuspid aortic valves, the results in 72 consecutive patients were assessed. The mean age of the patients was 39 ± 11 years; 94% were male. Fifty-six patients (78%) underwent isolated aortic valve repair, 9 (12.5%) underwent aortic and mitral valve repair, and 7 (9.7%) had other associated procedures. All patients underwent leaflet resection, including 35 (48%) at the raphe. The mean aortic occlusion time was 39 ± 12 minutes. There were no operative deaths. The severity of aortic insufficiency, as assessed by Doppler echocardiography (graded from 0 to 4) preoperativety and intraoperatively and at late follow-up, was 3.6 ± 0.6, 0.4 ± 0.4, and 0.9 ± 0.8, respectively, with a p value of < 0.0001 for the latter two values versus the preoperative one. There have been no postoperative deaths. Patients did not receive anticoagulation treatment and there were no strokes or episodes of endocarditis. Six patients have required reoperation; 3 underwent repeat repair. The Kaplan-Meier freedom from aortic valve reoperation probabilities at 12 and 24 months were 94% and 89.5%, respectively. We conclude that valvuloplasty for insufficient bicuspid aortic valves is technically safe, is associated with a low incidence of recurrent insufficiency, and has been associated with no other valve-related complications.
This article has been cited by other articles:
|
|
 |
|
  D. Aicher, A. Holz, S. Feldner, V. Kollner, and H.-J. Schafers Quality of life after aortic valve surgery: Replacement versus reconstruction J. Thorac. Cardiovasc. Surg., August 1, 2011; 142(2): e19 - e24. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Aicher, T. Kunihara, O. Abou Issa, B. Brittner, S. Graber, and H.-J. Schafers Valve Configuration Determines Long-Term Results After Repair of the Bicuspid Aortic Valve Circulation, January 18, 2011; 123(2): 178 - 185. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Doss, P. Risteski, S. Sirat, F. Bakhtiary, S. Martens, and A. Moritz Aortic root stability in bicuspid aortic valve disease: patch augmentation plus reduction aortoplasty versus modified David type repair Eur J Cardiothorac Surg, November 1, 2010; 38(5): 523 - 527. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Ashikhmina, T. M. Sundt III, J. A. Dearani, H. M. Connolly, Z. Li, and H. V. Schaff Repair of the bicuspid aortic valve: A viable alternative to replacement with a bioprosthesis J. Thorac. Cardiovasc. Surg., June 1, 2010; 139(6): 1395 - 1401. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Doss, S. Sirat, P. Risteski, S. Martens, and A. Moritz Pericardial patch augmentation for repair of incompetent bicuspid aortic valves at midterm Eur J Cardiothorac Surg, May 1, 2008; 33(5): 881 - 884. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Fratz, H. P. Gildein, G. Balling, W. Sebening, T. Genz, A. Eicken, and J. Hess Aortic Valvuloplasty in Pediatric Patients Substantially Postpones the Need for Aortic Valve Surgery: A Single-Center Experience of 188 Patients After up to 17.5 Years of Follow-Up Circulation, March 4, 2008; 117(9): 1201 - 1206. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. V. Schaff and R. M. Suri Multiple Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1129 - 1158. [Full Text]
|
|
|
|
 |
|
 C. D. Etz, T. M. Homann, D. Silovitz, D. Spielvogel, C. A. Bodian, M. Luehr, G. DiLuozzo, K. A. Plestis, and R. B. Griepp Long-Term Survival After the Bentall Procedure in 206 Patients With Bicuspid Aortic Valve Ann. Thorac. Surg., October 1, 2007; 84(4): 1186 - 1194. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-J. Schafers, D. Aicher, F. Langer, and H. F. Lausberg Preservation of the Bicuspid Aortic Valve Ann. Thorac. Surg., February 1, 2007; 83(2): S740 - S745. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Dave and R. Pretre Pericardial patch reconstruction of the congenitally diseased aortic valve MMCTS, January 1, 2007; 2007(0507): mmcts.2005.001354 - mmcts.2005.001354. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. El Khoury, J.-L. Vanoverschelde, D. Glineur, F. Pierard, R. R. Verhelst, J. Rubay, J.-C. Funken, C. Watremez, P. Astarci, V. Lacroix, et al. Repair of Bicuspid Aortic Valves in Patients With Aortic Regurgitation Circulation, July 4, 2006; 114(1_suppl): I-610 - I-616. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, A. Kadner, H. Dave, D. Bettex, and M. Genoni Tricuspidisation of the aortic valve with creation of a crown-like annulus is able to restore a normal valve function in bicuspid aortic valves Eur J Cardiothorac Surg, June 1, 2006; 29(6): 1001 - 1006. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Doss, R. Moid, J. P. Wood, A. Miskovic, S. Martens, and A. Moritz Pericardial Patch Augmentation for Reconstruction of Incompetent Bicuspid Aortic Valves Ann. Thorac. Surg., July 1, 2005; 80(1): 304 - 307. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Nash, E. Vitvitsky, J. Li, D. M. Cosgrove III, G. Pettersson, and R. A. Grimm Feasibility of Valve Repair for Regurgitant Bicuspid Aortic Valves--An Echocardiographic Study Ann. Thorac. Surg., May 1, 2005; 79(5): 1473 - 1479. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Langer, D. Aicher, A. Kissinger, O. Wendler, H. Lausberg, R. Fries, and H.-J. Schafers Aortic Valve Repair Using a Differentiated Surgical Strategy Circulation, September 14, 2004; 110(11_suppl_1): II-67 - II-73. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Bozbuga, V. Erentug, K. Kirali, E. Akinci, O. Isik, and C. Yakut Midterm results of aortic valve repair with the pericardial cusp extension technique in rheumatic valve disease Ann. Thorac. Surg., April 1, 2004; 77(4): 1272 - 1276. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Minakata, H. V. Schaff, K. J. Zehr, J. A. Dearani, R. C. Daly, T. A. Orszulak, F. J. Puga, and G. K. Danielson Is repair of aortic valve regurgitation a safe alternative to valve replacement? J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 645 - 653. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J D R Thomson Management of valvar aortic stenosis in children Heart, January 1, 2004; 90(1): 5 - 6. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. V. Schaff and D. H. Marsh Multiple Valve Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1017 - 1045. [Full Text]
|
|
|
|
|
|
J.-M. Grinda, C. Latremouille, A. J. Berrebi, R. Zegdi, S. Chauvaud, A. F. Carpentier, J.-N. Fabiani, and A. Deloche Aortic cusp extension valvuloplasty for rheumatic aortic valve disease: midterm results Ann. Thorac. Surg., August 1, 2002; 74(2): 438 - 443. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Erbel, F. Alfonso, C. Boileau, O. Dirsch, B. Eber, A. Haverich, H. Rakowski, J. Struyven, K. Radegran, U. Sechtem, et al. Diagnosis and management of aortic dissection: Task Force on Aortic Dissection, European Society of Cardiology Eur. Heart J., September 2, 2001; 22(18): 1642 - 1681. [PDF]
|
|
|
|
|
|
F. Langer, T. Graeter, N. Nikoloudakis, D. Aicher, O. Wendler, and H.-J. Schafers Valve-preserving aortic replacement: Does the additional repair of leaflet prolapse adversely affect the results? J. Thorac. Cardiovasc. Surg., August 1, 2001; 122(2): 270 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Bacha, G. M. Satou, A. M. Moran, D. Zurakowski, G. R. Marx, J. F. Keane, and R. A. Jonas Valve-sparing operation for balloon-induced aortic regurgitation in congenital aortic stenosis J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 162 - 168. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. D. Movsowitz, R. A. Levine, A. D. Hilgenberg, and E. M. Isselbacher Transesophageal echocardiographic description of the mechanisms of aortic regurgitation in acute type A aortic dissection: implications for aortic valve repair J. Am. Coll. Cardiol., September 1, 2000; 36(3): 884 - 890. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Chotivatanapong, P. Chaiseri, C. Kasemsarn, C. Yotthasurodom, V. Sungkahapong, S. Cholitkul, T. Chotivatanapong, P. Chaiseri, C. Kasemsarn, C. Yotthasurodom, et al. Aortic Valve Reconstruction: Midterm Results from Central Chest Hospital Asian Cardiovasc Thorac Ann, September 1, 2000; 8(3): 231 - 234. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-J. Schafers, F. Langer, D. Aicher, T. P. Graeter, and O. Wendler Remodeling of the aortic root and reconstruction of the bicuspid aortic valve Ann. Thorac. Surg., August 1, 2000; 70(2): 542 - 546. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. G. Svensson, J. Longoria, W. A. Kimmel, and E. Nadolny Management of aortic valve disease during aortic surgery Ann. Thorac. Surg., March 1, 2000; 69(3): 778 - 783. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Imamura, J. J. Drummond-Webb, J. F. McCarthy, and R. B.B. Mee Aortic valve repair after arterial switch operation Ann. Thorac. Surg., February 1, 2000; 69(2): 607 - 608. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Niederhauser, A. Kunzli, B. Seifert, J. Schmidli, M. Lachat, G. Zund, P. Vogt, and M. Turina Conservative treatment of the aortic root in acute type a dissection Eur J Cardiothorac Surg, May 1, 1999; 15(5): 557 - 563. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Imamura, J. J. Drummond-Webb, G. E. Sarris, and R. B.B. Mee Improving early and intermediate results of truncus arteriosus repair: a new technique of truncal valve repair Ann. Thorac. Surg., April 1, 1999; 67(4): 1142 - 1146. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. P. Casselman, A. M. Gillinov, R. Akhrass, V. Kasirajan, E. H. Blackstone, and D. M. Cosgrove Intermediate-term durability of bicuspid aortic valve repair for prolapsing leaflet Eur J Cardiothorac Surg, March 1, 1999; 15(3): 302 - 308. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Bernal, M. Fernandez-Vals, J. M. Rabasa, F. Gutierrez-Garcia, C. Morales, and J. M. Revuelta Repair of nonsevere rheumatic aortic valve disease during other valvular procedures: Is it safe? J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1130 - 1135. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
