[In-hospital and mid-term results of aortic root remodeling and aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease].
作者信息
Lysenko A V, Salagaev G I, Lednev P V, Nikityuk T G, Dzeranova A N, Belov Yu V
机构信息
Petrovsky National Research Center of Surgery, Moscow, Russia.
Sechenov First Moscow State Medical University, Moscow, Russia.
出版信息
Khirurgiia (Mosk). 2022(12):5-10. doi: 10.17116/hirurgia20221215.
OBJECTIVE
To analyze early and mid-term results of aortic root remodeling with aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease.
MATERIAL AND METHODS
There were 33 patients with connective tissue dysplasia, aneurysm of aortic root and/or ascending aorta and aortic regurgitation between September 2019 and December 2022. All patients underwent aortic root remodeling with aortic valve annuloplasty.
RESULTS
Mean time of cardiopulmonary bypass was 138.5±21.5 min, aortic clamping - 115.3±20.5 min. According to postoperative transthoracic echocardiography, mild aortic regurgitation was observed in 28 patients, 5 patients had moderate regurgitation. Postoperative follow-up period varied from 3 months to 2 years. There was no in-hospital mortality or significant cardiovascular complications. Two-year freedom from moderate-to-severe aortic regurgitation was 93.9%, overall survival - 100%.
CONCLUSION
Aortic root remodeling is characterized by favorable hemodynamic efficiency and low complication rate.
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