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Aortic valve repair for congenital abnormalities of the aortic valve.
- Source :
-
Heart, lung & circulation [Heart Lung Circ] 2006 Aug; Vol. 15 (4), pp. 248-55. Date of Electronic Publication: 2006 Jul 07. - Publication Year :
- 2006
-
Abstract
- Background: Due to shortcomings of any valve replacement, repairing and retaining the native valve may be beneficial for congenital aortic valve disease.<br />Methods: Retrospective review of data and follow-up of aortic valve repair from a single institution.<br />Results: From 1993 to 2001, 56 patients underwent aortic valve repair [median age 13.4 years (range 1 day to 45 years)]. The predominant aortic valve lesion was mixed aortic stenosis/aortic insufficiency 25 (45%), aortic insufficiency 24 (43%) and aortic stenosis 7 (13%). Repair techniques included sub-commissural plication 36 (64%), commissurotomy 24 (43%), cusp plication 15 (27%), pericardial patch cusp extension 8 (14%) and resuspension of commissures 4 (7%). Most patients (88%) required a combination of techniques; 61% required additional procedures. Hospital survival was 55/56 [98%; (95% CI 91-100%)] no patient was discharged on anticoagulation for aortic valve pathology. Fifty-three patients [95%; (95% CI 85-98%)] remain alive after a median follow-up of 37 months; four survivors required aortic valve replacement and two required repeat aortic valve repair [84%; (95% CI 72-91%) reintervention-free survival].<br />Conclusions: (1) In this study, aortic valve repair for congenital abnormalities avoided reoperation in the majority of patients, avoided anticoagulation and retained growth potential of the valve. (2) Repeat aortic valve repair or replacement was used to treat subsequent valve deterioration.
- Subjects :
- Adolescent
Adult
Anticoagulants adverse effects
Aortic Valve physiopathology
Aortic Valve Insufficiency physiopathology
Aortic Valve Stenosis physiopathology
Cardiac Surgical Procedures methods
Child
Child, Preschool
Endocarditis etiology
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation methods
Humans
Infant
Infant, Newborn
Male
Middle Aged
Reoperation
Retrospective Studies
Aortic Valve abnormalities
Aortic Valve surgery
Aortic Valve Insufficiency congenital
Aortic Valve Insufficiency surgery
Aortic Valve Stenosis congenital
Aortic Valve Stenosis surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1443-9506
- Volume :
- 15
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Heart, lung & circulation
- Publication Type :
- Academic Journal
- Accession number :
- 16829195
- Full Text :
- https://doi.org/10.1016/j.hlc.2006.05.005