Reconstructive surgery of the aortic valve
OBJECTIVE: Lacking an ideal valve substitute and motivated by the good results of mitral valve repair since 1990, we faced with determination aortic valve reconstruction surgery. The objective of this paper is to show our experience with this procedure. METHOD: Between January of 1990 and December o...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2003-01-01
|
| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000400011 |
| _version_ | 1811251273506226176 |
|---|---|
| author | Mendonça José Teles de Carvalho Marcos Ramos Costa Rika Kakuda da Barroso Roberto Cardoso Santos José Edivaldo dos Tavares Filho Sérgio Costa |
| author_facet | Mendonça José Teles de Carvalho Marcos Ramos Costa Rika Kakuda da Barroso Roberto Cardoso Santos José Edivaldo dos Tavares Filho Sérgio Costa |
| author_sort | Mendonça José Teles de |
| collection | DOAJ |
| description | OBJECTIVE: Lacking an ideal valve substitute and motivated by the good results of mitral valve repair since 1990, we faced with determination aortic valve reconstruction surgery. The objective of this paper is to show our experience with this procedure. METHOD: Between January of 1990 and December of 2001; 136 aortic valve repair surgeries were performed. Seventy-five (55.1%) of the patients were female and the ages ranged from 4 to 70 years (mean 23.3 ± 1.2 years). Every patient had rheumatic valve disease and insufficiency was the most prevalent type (108 patients - 79.4%), followed by double aortic lesion in 16 (11.7%) patients and stenosis in 12 (8.8%). The surgical techniques used were: subcommissural annuloplasty in 74 (54.4%) patients, commissurotomy in 38 (27.9%), cusp extension with pericardium in 17 (12.5%), substitution of one cusp in 2 (1.4%), cusp suspension by annuloplasty in 37 (27.2%) and Valsalva sinus remodeling in 27 (19.8%). The surgery exclusively involved the aortic valve in 57 (41.9%) patients and was associated in 79 (mitral valve replacement in 12, mitral repair in 65, coronary artery bypass grafting in 1 and pulmonary commissurotomy in 1). RESULTS: Hospital mortality was 2.2% and 22 (16.2%) patients underwent a new surgery during the follow-up period (57.7 ± 3.5 months). CONCLUSIONS: Aortic valve repair is a safe surgical procedure that can be used in an increasing number of patients with promising results. |
| first_indexed | 2024-04-12T16:17:08Z |
| format | Article |
| id | doaj.art-27ce08625a1b42e78b0af6881486afc2 |
| institution | Directory Open Access Journal |
| issn | 0102-7638 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T16:17:08Z |
| publishDate | 2003-01-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-27ce08625a1b42e78b0af6881486afc22022-12-22T03:25:41ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery0102-76381678-97412003-01-01184364369Reconstructive surgery of the aortic valveMendonça José Teles deCarvalho Marcos RamosCosta Rika Kakuda daBarroso Roberto CardosoSantos José Edivaldo dosTavares Filho Sérgio CostaOBJECTIVE: Lacking an ideal valve substitute and motivated by the good results of mitral valve repair since 1990, we faced with determination aortic valve reconstruction surgery. The objective of this paper is to show our experience with this procedure. METHOD: Between January of 1990 and December of 2001; 136 aortic valve repair surgeries were performed. Seventy-five (55.1%) of the patients were female and the ages ranged from 4 to 70 years (mean 23.3 ± 1.2 years). Every patient had rheumatic valve disease and insufficiency was the most prevalent type (108 patients - 79.4%), followed by double aortic lesion in 16 (11.7%) patients and stenosis in 12 (8.8%). The surgical techniques used were: subcommissural annuloplasty in 74 (54.4%) patients, commissurotomy in 38 (27.9%), cusp extension with pericardium in 17 (12.5%), substitution of one cusp in 2 (1.4%), cusp suspension by annuloplasty in 37 (27.2%) and Valsalva sinus remodeling in 27 (19.8%). The surgery exclusively involved the aortic valve in 57 (41.9%) patients and was associated in 79 (mitral valve replacement in 12, mitral repair in 65, coronary artery bypass grafting in 1 and pulmonary commissurotomy in 1). RESULTS: Hospital mortality was 2.2% and 22 (16.2%) patients underwent a new surgery during the follow-up period (57.7 ± 3.5 months). CONCLUSIONS: Aortic valve repair is a safe surgical procedure that can be used in an increasing number of patients with promising results.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000400011Aortic valve/surgeryAortic valve insufficiency/surgeryAortic valve stenosis/surgery |
| spellingShingle | Mendonça José Teles de Carvalho Marcos Ramos Costa Rika Kakuda da Barroso Roberto Cardoso Santos José Edivaldo dos Tavares Filho Sérgio Costa Reconstructive surgery of the aortic valve Brazilian Journal of Cardiovascular Surgery Aortic valve/surgery Aortic valve insufficiency/surgery Aortic valve stenosis/surgery |
| title | Reconstructive surgery of the aortic valve |
| title_full | Reconstructive surgery of the aortic valve |
| title_fullStr | Reconstructive surgery of the aortic valve |
| title_full_unstemmed | Reconstructive surgery of the aortic valve |
| title_short | Reconstructive surgery of the aortic valve |
| title_sort | reconstructive surgery of the aortic valve |
| topic | Aortic valve/surgery Aortic valve insufficiency/surgery Aortic valve stenosis/surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382003000400011 |
| work_keys_str_mv | AT mendoncajosetelesde reconstructivesurgeryoftheaorticvalve AT carvalhomarcosramos reconstructivesurgeryoftheaorticvalve AT costarikakakudada reconstructivesurgeryoftheaorticvalve AT barrosorobertocardoso reconstructivesurgeryoftheaorticvalve AT santosjoseedivaldodos reconstructivesurgeryoftheaorticvalve AT tavaresfilhosergiocosta reconstructivesurgeryoftheaorticvalve |