Effect of aortic valve surgery on left ventricular diastole assessed by echocardiography and neuroendocrine response: percutaneous versus surgical approach

Journal of Cardiothoracic and Vascular Anesthesia
Fabio GuarracinoVito Di Bello

Abstract

Aortic valve implantation through peripheral vascular access is an option for high-risk patients with severe aortic valve stenosis. The authors aimed to compare the acute effect of endovascular and surgical aortic valve procedures on left ventricular diastolic function. A case-matched, nonrandomized study. A university hospital. Patients with aortic stenosis. B-natriuretic peptide was measured in 30 patients with a logistic EuroSCORE > or =20% undergoing endovascular aortic valve implantation. Patients were case matched (age, mitral flow propagation velocity, mitral annulus early diastolic velocity, and B-natriuretic peptide measurement) with 30 control patients undergoing surgical aortic valve replacement through sternotomy. Left ventricular diastole was evaluated initially and after valve procedures with echocardiography by mitral flow propagation velocity and mitral annulus early diastolic velocity. B-natriuretic peptide was similar preoperatively in the 2 groups (346 [188-438] v 367 [211-458] pg/mL) and higher (p = 0.006) in the surgical group postoperatively (389.5 [237-479] v 710.5 [389-822] pg/mL), with a postprocedural statistically significant increase only in the surgical group. Diastolic function was similar in the 2...Continue Reading

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Citations

Jul 24, 2012·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Enrico VizzardiLivio Dei Cas
Aug 26, 2014·The Canadian Journal of Cardiology·Andrew N RassiSammy Elmariah
May 21, 2015·Current Treatment Options in Cardiovascular Medicine·Sammy Elmariah
Nov 13, 2012·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Sebastian SpethmannFabian Knebel
May 24, 2011·Current Opinion in Anaesthesiology·Remo D CovelloAlberto Zangrillo
Dec 19, 2020·Journal of the American College of Cardiology·Geraldine OngRebecca T Hahn
Jul 8, 2011·Current Opinion in Anaesthesiology

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