Different techniques for aortic valve repair and the associated root reconstruction - prospective long-term follow-up of the first 100 patients

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
Marek J JasinskiStanisław Woś

Abstract

The advantages of aortic valve and aortic root reconstructive surgery include the provision of natural postoperative valve hemodynamics and the avoidance of prosthetic valve-related complications. A systematic approach based on functional classification of aortic regurgitation allows standardization and reproducibility. Its potential applicability, however, is limited by the relative lack of long-term follow-up data. To achieve the long term results of aortic valve and root repair in prospectively recruited group of 100 patients operated on during first seven years. Between the years 2003 and 2013, 225 consecutive patients (175 male, 50 female, mean age 51.3 years) with severe aortic regurgitation and aortic root enlargement underwent aortic valve repair or sparing surgery. The first 100 patients operated between 2003 and 2009 were prospectively enrolled in the study in order to achieve a 105-month follow-up. They underwent aortic valve repair and associated aortic root reconstruction. This prospective study is aimed at assessing the major endpoints of overall survival and freedom from reoperation. Additionally, log-rank testing for the risk factors associated with overall mortality, reoperation, and aortic valve repair failure...Continue Reading

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