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Valve-sparing aortic root replacement—midterm outcomes and quality of life
- Source :
- Cardiovascular Diagnosis and Therapy. :572-580
- Publication Year :
- 2017
- Publisher :
- AME Publishing Company, 2017.
-
Abstract
- Background: This study evaluated the midterm outcomes, the valve related events and quality of life of patients treated by valve-sparing aortic root replacement (VSRR). Methods: From January 2003 to December 2014, 88 con-secutive patients diagnosed with an aortic root aneurysm or ascending aortic aneurysms underwent VSRR surgery. The mean age was 55±14 (range 19–77) years. A total of 84% of the patients were male; 89% were in New York Heart Association functional class I or II, 55% had aortic regurgitation (AR) grade III or IV. Twenty-four patients (27.3%) had bicuspid aortic valve. The mean left ventricular ejection fraction (LVEF) was 61%±9% (range 29–78%). Patients were yearly followed by family doctors and referent cardi-ologists. Doppler echocardiographic examinations were obtained annually in all patients. The midterm clinical, echocardiographic results and quality of life were analyzed. The mean follow-up was 5.3±3 (range 1–12) years. Results: Hospital mortality was 1%. There were ten late deaths (11%) including 5 cardiac cases. Two patients (2%) required an aortic valve or graft prosthesis reoperation. Aortic valve endocarditis occurred in two patients. Thromboembolic events were reported in 3 patients. None of the following morbidity has been observed: structural valve deterioration, nonstructural dysfunction, valve thrombosis, bleeding event. The 5- and 8-year survival were 92% and 88%, respectively. The 8-year survival free from cardiac death was 88%. The mean of EuroQoL visual analogue scale (EQ VAS) and EQ index were respectively 83±15 (range 30–100) and 0.94±0.12 (range 0.5–1). Conclusions: Eight-year clinical improvement, function of the spared aortic valve and quality of life after valve sparing aortic root surgery appear excellent.
- Subjects :
- Valve-sparing aortic root replacement
Aortic valve
medicine.medical_specialty
Ejection fraction
Visual analogue scale
business.industry
medicine.medical_treatment
Regurgitation (circulation)
030204 cardiovascular system & hematology
medicine.disease
Prosthesis
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Bicuspid aortic valve
030228 respiratory system
Quality of life
Internal medicine
cardiovascular system
medicine
Cardiology
Original Article
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 22233660 and 22233652
- Database :
- OpenAIRE
- Journal :
- Cardiovascular Diagnosis and Therapy
- Accession number :
- edsair.doi.dedup.....d50c3dcc4f61452a1aba9073f854f009