The Journal of thoracic and cardiovascular surgery · 2019
The significance of bicuspid aortic valve after surgery for acute type A aortic dissection.
СтатьяМногоцентровое исследованиеVideo-Audio MediaНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mennander Ari, Olsson Christian, Jeppsson Anders, Geirsson Arnar, Hjortdal Vibeke, Hansson Emma C, Jarvela Kati, Nozohoor Shahab, Gunn Jarmo, Ahlsson Anders, Gudbjartsson Tomas
Аннотация
OBJECTIVE: Decision-making concerning the extent of the repair of acute type A aortic dissection (ATAAD) includes functional and anatomical assessment of the aortic valve. We hypothesized that bicuspid aortic valve (BAV) does not impact outcome after surgery for ATAAD. We therefore evaluated the outcome after ATAAD surgery in relation to the presence of BAV, acute aortic regurgitation (AR), and surgical approach, using the Nordic Consortium for Acute Type A Aortic Dissection database.
METHODS: Eight participating Nordic centers collected data from 1122 patients undergoing ATAAD surgery during the years 2005 to 2014. Early complications, reoperations and survival were compared between patients with BAV and tricuspid aortic valves (TAV) before and after propensity score matching for sex, age, AR, organ malperfusion, hemodynamic instability, and site of the tear. Mean follow-up (range) for patients with TAV and BAV was 3.1 years (0-10.4 years) and 3.2 years (0-9.0 years), respectively.
RESULTS: Altogether, 65 (5.8%) of the patients had BAV. Root replacement was more frequently performed in the BAV as compared with the TAV group (60% vs 23%, P < .001). Survival, however, did not differ significantly between patients with BAV or TAV, either before (P = .230) or after propensity score-matching (P = .812). Even so, in cohort as a whole, patients presenting with AR had less favorable survival.
CONCLUSIONS: Early and mid-term survival did not differ significantly between patients with BAV and TAV.
METHODS: Eight participating Nordic centers collected data from 1122 patients undergoing ATAAD surgery during the years 2005 to 2014. Early complications, reoperations and survival were compared between patients with BAV and tricuspid aortic valves (TAV) before and after propensity score matching for sex, age, AR, organ malperfusion, hemodynamic instability, and site of the tear. Mean follow-up (range) for patients with TAV and BAV was 3.1 years (0-10.4 years) and 3.2 years (0-9.0 years), respectively.
RESULTS: Altogether, 65 (5.8%) of the patients had BAV. Root replacement was more frequently performed in the BAV as compared with the TAV group (60% vs 23%, P < .001). Survival, however, did not differ significantly between patients with BAV or TAV, either before (P = .230) or after propensity score-matching (P = .812). Even so, in cohort as a whole, patients presenting with AR had less favorable survival.
CONCLUSIONS: Early and mid-term survival did not differ significantly between patients with BAV and TAV.
Предметные рубрики MeSH
Acute DiseaseAdultAgedAortic DissectionAortic AneurysmAortic ValveAortic Valve InsufficiencyBicuspid Aortic Valve DiseaseDatabases, FactualFemaleHeart Valve DiseasesHumansMaleMiddle AgedPostoperative Cognitive ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsScandinavian and Nordic CountriesTime FactorsTreatment OutcomeVascular Surgical Procedures