Open AccessChoosing aortic valve plasty for aortic root/ascending aorta repair
Author(s) -
Э. Р. Чарчян,
Ю. В. Белов,
А. А. Скворцов,
G.I. Salagaev,
П. Н. Шведов
Publication year - 2016
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2016-2-26-34
Subject(s) - medicine , aortic valve repair , surgery , aortic root , aortic valve , ascending aorta , aorta , fixation (population genetics) , cardiology , population , environmental health
Aim: The study was designed to evaluate the outcomes of aortic valve reimplantation (David procedure), as well as various techniques of aortic root reconstruction. Methods: The results of 84 valve-sparing operations for thoracic aortic aneurysms and dissections were analyzed at B. Petrovsky Russian Research Center of Surgery over a period from 2007 to 2016. The first group (n = 42) consisted of patients after David procedure, the second group (n = 38) included patients after different methods of aortic root repair (fixation of commissures, leaflets plication, sinotubular ridge repair). 5-year results of surgical treatment were assessed. Results: David procedure is characterized by good long-term results. There was no in-hospital and 5-year mortality in the first group, while 2 (5.3%) patients in the second group died in the early postoperative period. In both groups the reoperation rate was 2.4% and 8.3% respectively. Conclusion: Valve-sparing aortic root repair is characterized by good survival rate, high freedom from reoperation and low incidence of complications.