Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/132847 |
Resumo: | OBJECTIVES: 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. |
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Clinics |
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Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure?Aortic DiseasesAorta ThoracicCardiac Surgical ProceduresAortic AneurysmThoracicAortic ValveOBJECTIVES: 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.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2017-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/13284710.6061/clinics/2017(04)03Clinics; v. 72 n. 4 (2017); 207-212Clinics; Vol. 72 Núm. 4 (2017); 207-212Clinics; Vol. 72 No. 4 (2017); 207-2121980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/132847/128893Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessDias, Ricardo RibeiroDuncan, José Augustode Souza Dinato, Fabrício JoséAraújo, Lucas LacerdaIssa, Hugo Monteiro NederFernandes, FábioMady, CharlesJatene, Fábio Biscegli2017-06-02T12:31:57Zoai:revistas.usp.br:article/132847Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-06-02T12:31:57Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
title |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
spellingShingle |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? Dias, Ricardo Ribeiro Aortic Diseases Aorta Thoracic Cardiac Surgical Procedures Aortic Aneurysm Thoracic Aortic Valve |
title_short |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
title_full |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
title_fullStr |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
title_full_unstemmed |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
title_sort |
Does aortic valve repair in valve-sparing aortic root reconstruction compromise the longevity of the procedure? |
author |
Dias, Ricardo Ribeiro |
author_facet |
Dias, Ricardo Ribeiro Duncan, José Augusto de Souza Dinato, Fabrício José Araújo, Lucas Lacerda Issa, Hugo Monteiro Neder Fernandes, Fábio Mady, Charles Jatene, Fábio Biscegli |
author_role |
author |
author2 |
Duncan, José Augusto de Souza Dinato, Fabrício José Araújo, Lucas Lacerda Issa, Hugo Monteiro Neder Fernandes, Fábio Mady, Charles Jatene, Fábio Biscegli |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Dias, Ricardo Ribeiro Duncan, José Augusto de Souza Dinato, Fabrício José Araújo, Lucas Lacerda Issa, Hugo Monteiro Neder Fernandes, Fábio Mady, Charles Jatene, Fábio Biscegli |
dc.subject.por.fl_str_mv |
Aortic Diseases Aorta Thoracic Cardiac Surgical Procedures Aortic Aneurysm Thoracic Aortic Valve |
topic |
Aortic Diseases Aorta Thoracic Cardiac Surgical Procedures Aortic Aneurysm Thoracic Aortic Valve |
description |
OBJECTIVES: 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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/132847 10.6061/clinics/2017(04)03 |
url |
https://www.revistas.usp.br/clinics/article/view/132847 |
identifier_str_mv |
10.6061/clinics/2017(04)03 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/132847/128893 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; v. 72 n. 4 (2017); 207-212 Clinics; Vol. 72 Núm. 4 (2017); 207-212 Clinics; Vol. 72 No. 4 (2017); 207-212 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1787713180054585344 |