Drawback of aortoplasty for aneurysm of the ascending aorta associated with aortic valve disease.

Détails

ID Serval
serval:BIB_D66AC57D702F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Drawback of aortoplasty for aneurysm of the ascending aorta associated with aortic valve disease.
Périodique
The Annals of thoracic surgery
Auteur(s)
Mueller X.M., Tevaearai H.T., Genton C.Y., Hurni M., Ruchat P., Fischer A.P., Stumpe F., von Segesser L.K.
ISSN
0003-4975
Statut éditorial
Publié
Date de publication
1997
Peer-reviewed
Oui
Volume
63
Numéro
3
Pages
762-6; discussion 766-7
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
BACKGROUND: Aortoplasty has been advocated for moderate dilatation of the ascending aorta associated with aortic valve disease. We report our results with this conservative approach. METHODS: Seventeen consecutive patients with unsupported aortoplasty were reviewed. Twelve patients had aortic valve regurgitation and 5 had stenosis. The aortic wall was analyzed histologically in 14 patients. Follow-up was complete, with a mean time of 6 years (range, 2.3 to 10.5 years). RESULTS: Two patients among the 15 hospital survivors died during follow-up of causes unrelated to aortic pathology. Survival at 7 years was 86.7% (+/- 8.8%). Recurring aortic aneurysms developed in 4 patients after a mean time of 63 months, with an event-free survival at 7 years of 41% (+/- 21%). All of these 4 patients had aortic valve regurgitation and cystic medial necrosis. CONCLUSIONS: The recurrence rate of aneurysms after unsupported aortoplasty and aortic valve replacement is high in patients with aortic regurgitation. This strongly suggests that in these patients, the aortic dilatation is related to an underlying wall deficiency, associated with the aortic valve pathology, rather than to the hemodynamic stress imposed by the aortic valve disease.
Mots-clé
Actuarial Analysis, Aged, Aorta, Aortic Aneurysm, Aortic Valve Insufficiency, Aortic Valve Stenosis, Disease-Free Survival, Female, Follow-Up Studies, Heart Valve Prosthesis, Humans, Male, Recurrence, Time Factors
Pubmed
Web of science
Création de la notice
28/01/2008 10:39
Dernière modification de la notice
20/08/2019 16:56
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