Aortic Valve Repair: A Systematic Review and Meta-analysis of Published Literature

Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital
Matthew FokMohamad Bashir

Abstract

Background : It is widely accepted that aortic valve disease is surgically managed with aortic valve replacement (AVR) using different available prostheses. The long-term survival, durability of the valve, and freedom from reoperation after AVR are well established in published literature. Over the past two decades, aortic valve repair (AVr) has evolved into an accepted surgical option for patients with aortic valve disease. We review and analyze the published literature on AVr. Methods : A systematic review of the current literature was performed through three electronic databases from inception to August 2013 to identify all relevant studies relating to aortic valve repair. Articles selected were chosen by two reviewers. Articles were excluded if they contained a pediatric population or if the patient number was less than 50. Twenty-four studies conformed to the inclusion criteria for inclusion in the systematic review. In total, 4986 patients underwent aortic valve repair. 7 studies represented bicuspid aortic valve (BAV) repair, 5 studies represented cusp prolapse, and 3 studies represented valve repair with root dilation or aneurysm. Overall weighted in-hospital mortality for all studies was low (1.46% ± 1.21). Preoperativ...Continue Reading

Citations

Feb 25, 2015·Journal of Emergencies, Trauma, and Shock·Daniel Dante YehGeorge Velmahos
Apr 7, 2018·General Thoracic and Cardiovascular Surgery·Athanasios AntoniouGebrine El Khoury

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