Bicuspid aortic valve disease and ascending aortic aneurysm: should an aortic root replacement be mandatory?†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Igor VendraminUgolino Livi

Abstract

The higher risk of adverse aortic events in patients with bicuspid aortic valve (BAV) disease and ascending aorta aneurysm is known, but the management of moderate aortic root dilatation in younger patients is a controversial issue. The aim of the study was to compare survival in patients with or without root replacement. We reviewed 166 consecutive patients with BAV disease and concomitant ascending aorta aneurysm (mean ascending aorta diameter: 51.4 ± 7.2 mm) undergoing cardiac surgery from 1994 to 2010. A total of 77 patients underwent Bentall procedure (90.9% male, mean age: 55.7 ± 12.7 years, Bentall group), whereas the remaining 89 patients underwent aortic valve replacement with supracoronary ascending aorta replacement (SAAR 71.9% male, mean age: 60.5 ± 11.2 years, SAAR group, P = 0.002). The preoperative mean diameter of the root was 44.0 ± 7.2 mm in the Bentall, and 38.5 ± 4.8 mm in the SAAR group (P < 0.0001). In-hospital mortality was 2.6% in the Bentall, and 2.3% in the SAAR groups. Overall survival was 84 and 81% in the Bentall (median follow-up: 105 months) versus 89 and 88% in the SAAR (median follow-up: 73 months) groups at 10 and 15 years (P = 0.36), respectively. The mean cardiopulmonary bypass (CPB) time was...Continue Reading

References

Feb 1, 1992·Journal of the American College of Cardiology·R T HahnR B Devereux
Dec 31, 1997·Journal of the American College of Cardiology·K HuntingtonK L Chan
Nov 21, 2002·The Annals of Thoracic Surgery·Claudio F RussoEttore Vitali
Jul 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Thanos SiorisChristopher M Feindel
Aug 18, 2004·Circulation·Kenton J ZehrHartzell V Schaff
Oct 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Michael A BorgerTirone E David
Aug 30, 2005·The American Journal of Cardiology·Stefano NistriGaetano Thiene
Jul 24, 2007·The Annals of Thoracic Surgery·T Brett ReeceIrving L Kron
Sep 25, 2007·The Annals of Thoracic Surgery·Christian D EtzRandall B Griepp
Oct 29, 2008·The Journal of Thoracic and Cardiovascular Surgery·Christian D EtzRandall B Griepp
Dec 2, 2008·Journal of Cardiac Surgery·Ali ShahriariJohn A Elefteriades
May 25, 2010·The Annals of Thoracic Surgery·Rakan I NazerTirone E David
Nov 3, 2010·The Journal of Thoracic and Cardiovascular Surgery·Chan B ParkThoralf M Sundt
Feb 5, 2011·The Journal of Thoracic and Cardiovascular Surgery·Lars G SvenssonBruce W Lytle
Apr 3, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Evaldas GirdauskasThomas Kuntze
Jun 26, 2012·Circulation. Cardiovascular Imaging·Alex J BarkerFlorian von Knobelsdorff-Brenkenhoff
Nov 26, 2013·JACC. Cardiovascular Imaging·Alessandro Della CorteMarisa De Feo
Dec 18, 2013·Interactive Cardiovascular and Thoracic Surgery·Evaldas GirdauskasThomas Kuntze

❮ Previous
Next ❯

Citations

Apr 10, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandro Della Corte
Apr 15, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pouya Youssefi, Marjan Jahangiri
May 28, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sarah NordmeyerLeonid Goubergrits
Jul 29, 2019·International Journal of Cardiology·Andrea LechiancoleUgolino Livi
Dec 29, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Igor VendraminUgolino Livi
Feb 26, 2019·The Journal of Thoracic and Cardiovascular Surgery·Roland AssiPrashanth Vallabhajosyula
Apr 4, 2021·The Annals of Thoracic Surgery·Sri Harsha PatlollaNishant Saran

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.