Valve repair surgery for incompetent bicuspid aortic valves

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dc.contributor.authorZalaquett, R
dc.contributor.authorCampla, C
dc.contributor.authorScheu, M
dc.contributor.authorCordova, S
dc.contributor.authorBecker, P
dc.contributor.authorMoran, S
dc.contributor.authorIrarrazaval, MJ
dc.contributor.authorBaeza, C
dc.contributor.authorArretz, C
dc.contributor.authorBraun, S
dc.contributor.authorChamorro, G
dc.contributor.authorGodoy, I
dc.contributor.authorYanez, F
dc.date.accessioned2024-01-10T12:10:47Z
dc.date.available2024-01-10T12:10:47Z
dc.date.issued2005
dc.description.abstractBackground Surgical valve repair is a good alternative for correction of incompetent bicuspid aortic valve. Aim: to report the early and late surgical, clinical and ecochardiographic results of surgical repair of incompetent bicuspid aortic valves. Patients and methods: Retrospective review of medical records of 18 patients aged 19 to 61 years, with incompetent bicuspid aortic valve in whom a valve repair was performed. Four patients had infections endocarditis and 17 were in functional class I or II. Follow up ranged from 3 10 113 months after surgery. Results: A triangular resection of the prolapsing larger cusp, which included the middle raphe, was performed in 17 cases, in 73 of these, a complementary subcommisural annuloplasty was performed. In the remaining case, with a perforation of the non-coronary cusp, a pericardial patch was implanted; this procedure was also performed in 2 other cases. In 3 cases large vegetations were removed. Postoperative transesophageal echocardiography showed no regurgitation in 11 patients (62%) and mild regurgitation in 7 (38%). There was no operative morbidity or mortality. There were no deaths during the follow-up period. In,3 patients (17%) the aortic valve was replaced with a mechanical prosthesis, 8 to 108 months after the first operation. Reoperation wets not needed in 93% 6,4% at 1 year and 85% 9,5% at 5 years, these patients were all in functional class 1 (it the end of the follow-lip period. 60% bad no aortic regurgitation, 20% had mild and 20% moderate aortic regurgitation on echocardiographic examination. A significant reduction of the diastolic diameter of the left ventricle was observed but there were no significant changes in systolic diameter or shortening fraction. Conclusions Surgical repair of incompetent bicuspid aortic valves has low operative morbidity and mortality and has a low risk of reoperation.
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872005000300002
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:15880181
dc.identifier.uri10.4067/S0034-98872005000300002
dc.identifier.wosidWOS:000228990600002
dc.information.autorucMedicina;Irarrázaval M;S/I;98706
dc.information.autorucMedicina;Morán S;S/I;98562
dc.information.autorucMedicina;Zalaquett R;S/I;100042
dc.issue.numero3
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final286
dc.pagina.inicio279
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso abierto
dc.subjectaortic valve
dc.subjectcardiovascular surgical procedures
dc.subjectheart heart valve prosthesis implantation
dc.subjectINSUFFICIENCY
dc.subjectREGURGITATION
dc.subjectMANAGEMENT
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleValve repair surgery for incompetent bicuspid aortic valves
dc.typeartículo
dc.volumen133
sipa.codpersvinculados98706
sipa.codpersvinculados98562
sipa.codpersvinculados100042
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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