Which technique of cusp repair is durable in reimplantation procedure?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Hiroshi TanakaY Okita

Abstract

We aimed to ascertain the durability of cusp repair techniques used in reimplantation procedures. Between 2000 and 2015, 249 patients (mean age, 49 ± 17 years) with aortic insufficiency underwent the reimplantation procedure. The pathology was acute aortic dissection in 24 and non-dissection in 225 patients. Preoperative aortic regurgitation (AR) was absent in 9, 1+ in 19, 2+ in 20, 3+ in 71 and 4+ in 120 patients. The mean aortic root and ascending aortic diameters were 47 ± 9 mm and 38 ± 7 mm, respectively. The following techniques of cusp repair were used: none (83), central plication (130), free margin reinforcement (57) and patch repair (19). Annual echocardiography was performed. Freedom from moderate aortic insufficiency and aortic valve reoperation were calculated by the Kaplan-Meier method. Factors influencing the freedom from moderate or severe AR were calculated by proportional hazard analysis. Mean follow-up period was 56  ±  44 months. Freedom from moderate or severe AR was 82%±3% and 77% ± 4% at 5 and 8 years, respectively, whereas freedom from aortic valve reoperation was 93%±8% and 87% ± 3% at 5 and 8 years, respectively. Recurrent AR and infection were causes of reoperation in 13 and 3 patients, respectively. P...Continue Reading

References

Jul 2, 2003·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·William A ZoghbiUNKNOWN American Society of Echocardiography
Feb 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·Matthias KarckAxel Haverich
Nov 9, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mano J ThubrikarBrett L Fowler
Dec 15, 2005·Heart, Lung & Circulation·F Rosenfeldt
Jul 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Hans-Joachim SchäfersDiana Aicher
Dec 25, 2008·Circulation·Hitoshi OginoSoichiro Kitamura
Apr 22, 2009·The Annals of Thoracic Surgery·Duke E CameronVincent L Gott
Jul 28, 2009·The Annals of Thoracic Surgery·Laurent de KerchoveGébrine El Khoury
Feb 5, 2011·The Journal of Thoracic and Cardiovascular Surgery·Munir BoodhwaniGebrine El Khoury
Aug 23, 2011·The Journal of Thoracic and Cardiovascular Surgery·Takashi KuniharaHans-Joachim Schäfers
Sep 29, 2011·The Annals of Thoracic Surgery·Takanori OkaTakuo Nomura
Nov 23, 2011·The Journal of Thoracic and Cardiovascular Surgery·Paul P UrbanskiAnno Diegeler
Aug 3, 2012·The Journal of Thoracic and Cardiovascular Surgery·Hans-Joachim SchäfersDiana Aicher
Oct 23, 2012·The Journal of Thoracic and Cardiovascular Surgery·John-Peder Escobar KvittingD Craig Miller
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidChristopher M Feindel
Feb 6, 2015·General Thoracic and Cardiovascular Surgery·Tatsuhiko Komiya
Jun 23, 2015·The Annals of Thoracic Surgery·Shunsuke MiyaharaYutaka Okita
Sep 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Ruggero De PaulisLuigi Chiariello

❮ Previous
Next ❯

Citations

May 20, 2018·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Torsten DoenstGloria Faerber
Feb 1, 2020·General Thoracic and Cardiovascular Surgery·Yasunori IidaHideyuki Shimizu
Jun 5, 2020·Journal of Cardiovascular Translational Research·Yuanjia ZhuY Joseph Woo
Sep 27, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shota HasegawaYutaka Okita
Aug 4, 2020·General Thoracic and Cardiovascular Surgery·Hiroshi TanakaYutaka Okita
Dec 18, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Saadallah TamerLaurent de Kerchove
Jul 29, 2021·JTCVS Techniques·Yuanjia Zhu, Y Joseph Woo
Dec 30, 2021·Interactive Cardiovascular and Thoracic Surgery·Shuichi ShiraishiMasanori Tsuchida

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Interactive Cardiovascular and Thoracic Surgery
Paul P UrbanskiAnno Diegeler
The Journal of Cardiovascular Surgery
Pietro Giorgio MalvindiFabrizio Settepani
Interactive Cardiovascular and Thoracic Surgery
Pietro Giorgio MalvindiFabrizio Settepani
© 2022 Meta ULC. All rights reserved