Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2020 April;61(2) > The Journal of Cardiovascular Surgery 2020 April;61(2):250-5

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

ORIGINAL ARTICLE  CARDIAC SECTION 

The Journal of Cardiovascular Surgery 2020 April;61(2):250-5

DOI: 10.23736/S0021-9509.20.11051-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Sleeve valve-sparing procedure in bicuspid aortic valve: early and midterm clinical results

Giordano TASCA 1, 2 , Francesco TRINCA 1, Beatrice RIVA 3, Elisabetta LOBIATI 3, Andrea NASATTI 4, Paolo FACCIOLI 4, Amando GAMBA 1

1 Operative Unit of Cardiac Surgery, Cardiovascular Department, ASST-Lecco, A. Manzoni Hospital, Lecco, Italy; 2 Cardiac Surgery Unit, Heart Health Center, King Saud Medical City, Kingdom of Saudi Arabia; 3 Operative Unit of Cardiology, ASST-Lecco, A. Manzoni Hospital, Lecco, Italy; 4 Department of Radiology, ASST-Lecco, A. Manzoni Hospital, Lecco, Italy



BACKGROUND: Patients with aortic root ectasia and bicuspid aortic valve benefit of the treatment with aortic valve sparing procedure, with excellent long-term results. The Sleeve-procedure is one of the options in patients with aortic root diseases and it might be suitable for patients with a bicuspid valve.
METHODS: From October 2006 to December 2018, 42 consecutive patients with bicuspid aortic valve and aortic root ectasia/aneurysm, with or without aortic regurgitation, were surgically treated with the Sleeve-procedure.
RESULTS: In 20 patients (48%) leaflets surgery was necessary and consisted of raphe mobilization/resection in 17 patients, plication of both leaflets in 2 patients and a two-commissures resuspension in 1 patient. During a mean clinical follow-up time of 4.4±3.1 years, the survival rate was 100%, 1 patient required a reoperation at 6.1 years postoperatively, with an overall freedom from reoperation of 94±5%. The rest of the patients (41/42), had no more than mild residual aortic valve regurgitation. With a mean follow-up of 4.3±1.7 years the magnetic resonance imaging performed in 26 patients, did not show signs of aortic wall herniation through the key-holes or persisting creases of the aortic wall inside the prosthesis.
CONCLUSIONS: Patients with aortic root disease and bicuspid aortic valve may be treated with Sleeve technique with excellent midterm results. However, a longer follow-up is required before drawing any solid conclusion.


KEY WORDS: Adult; Bicuspid aortic valve; Surgical procedure, operative

inizio pagina