| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2006;30:244-249
© 2006 Elsevier Science NL
Department of Thoracic and Cardiovascular Surgery, University Hospitals, University of Saarland, Kirrberger Str. 1, D-66421 Homburg/Saar, Germany
Received 11 October 2005; received in revised form 10 April 2006; accepted 13 April 2006.
* Corresponding author. Tel.: +49 6841 16 32011; fax: +49 6841 16 32005. (Email: henning.lausberg{at}uniklinik-saarland.de).
Introduction: Isolated aortic valve repair (AVR) has been gaining increasing interest in recent times. Results of isolated aortic valve repair have been reported to be variable. Various techniques have been utilized. We analyzed our experience with isolated valve repair using autologous pericardial patch plasty and compared the results to an age-matched collective with aortic valve repair without the use of additional material. Methods: Between January 1997 and June 2005, pericardial patch plasty of the aortic valve was performed in 42 patients (PATCH). During the same period, 42 patients after AVR without the use of additional material were age matched (NO-PATCH). Mean age in both groups was 52 years with a majority of male patients (PATCH ratio, 3.7:1; NO-PATCH ratio, 5:1). Valve anatomy was similar in both groups. All patients were followed by echocardiography for a cumulative follow-up of 2341 patient months (mean 28 ± 23 months). Results: No patient died in the hospital in neither group. The average systolic gradient was 5.9 ± 2.2 mmHg in PATCH and 4.8 ± 2.1 mmHg in NO-PATCH; p
= 0.17). Freedom from aortic regurgitation 
II° was 87.8% in PATCH and 95.0% in NO-PATCH after 5 years (p
= 0.21). Freedom from reoperation was 97.6% in PATCH and 97.4% in NO-PATCH (p
= 0.96). Conclusions: Aortic regurgitation can be treated effectively by aortic valve repair using pericardial patch plasty. The functional results are satisfactory. With the application of this technique also more complex pathologies of the aortic valve can be addressed adequately thus extending the concept of valve preservation in patients with aortic regurgitation.
Key Words: Valvular disease • Aortic valve • Valve repair
This article has been cited by other articles:
|
|
 |
|
  J.-B. le Polain de Waroux, A.-C. Pouleur, A. Robert, A. Pasquet, B. L. Gerber, P. Noirhomme, G. El Khoury, and J.-L. J. Vanoverschelde Mechanisms of Recurrent Aortic Regurgitation After Aortic Valve Repair: Predictive Value of Intraoperative Transesophageal Echocardiography J. Am. Coll. Cardiol. Img., August 1, 2009; 2(8): 931 - 939. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Brown, S. M. O'Brien, C. Wu, J. A. H. Sikora, B. P. Griffith, and J. S. Gammie Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J. Thorac. Cardiovasc. Surg., January 1, 2009; 137(1): 82 - 90. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Aicher, F. Langer, O. Adam, D. Tscholl, H. Lausberg, and H.-J. Schafers Cusp repair in aortic valve reconstruction: Does the technique affect stability? J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1533 - 1539. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-B. le Polain de Waroux, A.-C. Pouleur, C. Goffinet, D. Vancraeynest, M. Van Dyck, A. Robert, B. L. Gerber, A. Pasquet, G. E. Khoury, and J.-L. J. Vanoverschelde Functional Anatomy of Aortic Regurgitation: Accuracy, Prediction of Surgical Repairability, and Outcome Implications of Transesophageal Echocardiography Circulation, September 11, 2007; 116(11_suppl): I-264 - I-269. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
