Bitte benutzen Sie diese Referenz, um auf diese Ressource zu verweisen: doi:10.22028/D291-38560
Volltext verfügbar? / Dokumentlieferung
Dateien zu diesem Datensatz:
Es gibt keine Dateien zu dieser Ressource.
Titel: Aortic root remodeling in bicuspid and tricuspid aortic valves-long-term results
VerfasserIn: Miyahara, Shunsuke
Karliova, Irem
Giebels, Christian
Schneider, Ulrich
Matsushima, Shunsuke
Schäfers, Hans-Joachim UdsID
Sprache: Englisch
In:
Titel: Indian Journal of Thoracic and Cardiovascular Surgery
Bandnummer: 36 (2020)
Heft: Suppl 1
Seiten: 81-S87
Verlag/Plattform: Springer Nature
Erscheinungsjahr: 2019
Freie Schlagwörter: Aortic root remodeling
Long term
Bicuspid valve
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Background Root remodeling is one form of valve-preserving root replacement to treat patients with aortic regurgitation (AR) and root aneurysm. We have consistently used it for patients with and without connective tissue disease and different aortic valve morphologies. The objective of this retrospective study was to review 23 years of experience with root remodeling. Methods and patients Between 10/95 and 9/2018, 1004 of 1038 root remodeling procedures were performed in patients with tricuspid (n = 589) or bicuspid (n = 414) anatomy of the aortic valve in our institution. Aortic aneurysm was present in 932 cases, 73 procedures were performed for acute aortic dissection type A. The severity of aortic regurgitation ranged from grade I to grade IV (mean 2.5 ± 0.8). Results All patients underwent root remodeling, concomitant operations were performed in 433, and cusp repair in 883 instances. Hospital mortality was 2%. Overall freedom from reoperation was 92% at 10 years and 89% at 15 years. It was 94% for tricuspid valves at 10 and 15 years, and 88% for bicuspid aortic valves at 10 years and 80% at 15 years (p = 0.003). Conclusion In conclusion, root remodeling is a viable option in valve-preserving root replacement. If combined with careful assessment and, if necessary, correction of aortic valve form reproducible restoration of aortic valve function can be achieved.
DOI der Erstveröffentlichung: 10.1007/s12055-019-00798-y
URL der Erstveröffentlichung: https://doi.org/10.1007/s12055-019-00798-y
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-385607
hdl:20.500.11880/34751
http://dx.doi.org/10.22028/D291-38560
ISSN: 0973-7723
0970-9134
Datum des Eintrags: 13-Dez-2022
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Chirurgie
Professur: M - Prof. Dr. Hans Joachim Schäfers
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes



Alle Ressourcen in diesem Repository sind urheberrechtlich geschützt.