Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients
Objective: To investigate effect of surgical aortic valvuloplasty(AVP) for aortic insufficiency in patients using transthoracic echocardiography (TTE). Methods: A total of 25 patients underwent AVP surgery for aortic insufficiency(AI) were enrolled, and TTE was performed to evaluate effects of AVP....
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Diagnostics Concepts & Practice
2022-06-01
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| Series: | Zhenduanxue lilun yu shijian |
| Subjects: | |
| Online Access: | http://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1660723400358-1431619036.pdf |
| _version_ | 1797975606791503872 |
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| author | WANG Chenchen, FANG Yuehua, SHI Zhongwei, QU Xuezheng |
| author_facet | WANG Chenchen, FANG Yuehua, SHI Zhongwei, QU Xuezheng |
| author_sort | WANG Chenchen, FANG Yuehua, SHI Zhongwei, QU Xuezheng |
| collection | DOAJ |
| description | Objective: To investigate effect of surgical aortic valvuloplasty(AVP) for aortic insufficiency in patients using transthoracic echocardiography (TTE). Methods: A total of 25 patients underwent AVP surgery for aortic insufficiency(AI) were enrolled, and TTE was performed to evaluate effects of AVP. Cardiac chamber size, left ventricular(LV) systolic and diastolic function, AI grade, systolic transvalvular blood flow velocity and pressure gradient were measured one year after surgery, and results were compared to those before operation. Results: Echocardiographic measurements show that AVP, LV overload was reversed, Left ventricular end-diastolic diameter [(54.4±4.6) mm preoperatively vs ( 50.0±4.9) mm postoperatively, P=0.003), left ventricular end-diastolic volume[(145.7±28.8) mL preoperatively vs (120.4±27.8) mL pos-toperatively, P<0.001), left ventricular end-systolic diameter [34.0(31.0, 38.0) mm preoperatively vs 31.0(29.5, 34.0) mm postoperatively, P<0.001], left ventricular end-systolic volume [47.0(37.5, 63.0) mL preoperatively vs 37.0(32.5, 48.5) mL postoperatively, P=0.005], left ventricular stroke volume [(92.6±18.4) mL preoperatively vs (78.4±17.8) mL postoperatively, P<0.001] were significantly decreased, and the degree of aortic valve regurgitation was also significantly relieved (chi-square value is 21.000, P=0.021). However, there were no significant changes in aortic transvalvular flow velocity and pressure gradient [(1.8±0.4) m/s preoperatively vs (1.7±0.4) m/s postoperatively, P=0.086) and [(13.4±5.2) mmHg preoperatively vs (11.6±5.7) mmHg postoperatively, P=0.152). Postoperative regurgitation score ≥3 points were found in 5 cases. Conclusions: One year after AVP, the rate of moderate regurgitation in these patients is 20%. All AI is signifi-cantly alleviated after AVP, with reversed LV overload and accompanied by favorable LV remodelling, which is consistent with clinical manifestations. |
| first_indexed | 2024-04-11T04:38:13Z |
| format | Article |
| id | doaj.art-a1c7e58fc67e4ef283484fcb75534717 |
| institution | Directory Open Access Journal |
| issn | 1671-2870 |
| language | zho |
| last_indexed | 2024-04-11T04:38:13Z |
| publishDate | 2022-06-01 |
| publisher | Editorial Office of Journal of Diagnostics Concepts & Practice |
| record_format | Article |
| series | Zhenduanxue lilun yu shijian |
| spelling | doaj.art-a1c7e58fc67e4ef283484fcb755347172022-12-28T08:26:29ZzhoEditorial Office of Journal of Diagnostics Concepts & PracticeZhenduanxue lilun yu shijian1671-28702022-06-01210339539810.16150/j.1671-2870.2022.03.018Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patientsWANG Chenchen, FANG Yuehua, SHI Zhongwei, QU Xuezheng0Department of Cardiovascular Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, ChinaObjective: To investigate effect of surgical aortic valvuloplasty(AVP) for aortic insufficiency in patients using transthoracic echocardiography (TTE). Methods: A total of 25 patients underwent AVP surgery for aortic insufficiency(AI) were enrolled, and TTE was performed to evaluate effects of AVP. Cardiac chamber size, left ventricular(LV) systolic and diastolic function, AI grade, systolic transvalvular blood flow velocity and pressure gradient were measured one year after surgery, and results were compared to those before operation. Results: Echocardiographic measurements show that AVP, LV overload was reversed, Left ventricular end-diastolic diameter [(54.4±4.6) mm preoperatively vs ( 50.0±4.9) mm postoperatively, P=0.003), left ventricular end-diastolic volume[(145.7±28.8) mL preoperatively vs (120.4±27.8) mL pos-toperatively, P<0.001), left ventricular end-systolic diameter [34.0(31.0, 38.0) mm preoperatively vs 31.0(29.5, 34.0) mm postoperatively, P<0.001], left ventricular end-systolic volume [47.0(37.5, 63.0) mL preoperatively vs 37.0(32.5, 48.5) mL postoperatively, P=0.005], left ventricular stroke volume [(92.6±18.4) mL preoperatively vs (78.4±17.8) mL postoperatively, P<0.001] were significantly decreased, and the degree of aortic valve regurgitation was also significantly relieved (chi-square value is 21.000, P=0.021). However, there were no significant changes in aortic transvalvular flow velocity and pressure gradient [(1.8±0.4) m/s preoperatively vs (1.7±0.4) m/s postoperatively, P=0.086) and [(13.4±5.2) mmHg preoperatively vs (11.6±5.7) mmHg postoperatively, P=0.152). Postoperative regurgitation score ≥3 points were found in 5 cases. Conclusions: One year after AVP, the rate of moderate regurgitation in these patients is 20%. All AI is signifi-cantly alleviated after AVP, with reversed LV overload and accompanied by favorable LV remodelling, which is consistent with clinical manifestations.http://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1660723400358-1431619036.pdf|aortic valvuloplasty|echocardiography|recurrent aortic insufficiency |
| spellingShingle | WANG Chenchen, FANG Yuehua, SHI Zhongwei, QU Xuezheng Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients Zhenduanxue lilun yu shijian |aortic valvuloplasty|echocardiography|recurrent aortic insufficiency |
| title | Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| title_full | Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| title_fullStr | Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| title_full_unstemmed | Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| title_short | Effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| title_sort | effect of surgical aortic valvuloplasty for aortic insufficiency using echocardiography one year after surgery in 25 patients |
| topic | |aortic valvuloplasty|echocardiography|recurrent aortic insufficiency |
| url | http://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1660723400358-1431619036.pdf |
| work_keys_str_mv | AT wangchenchenfangyuehuashizhongweiquxuezheng effectofsurgicalaorticvalvuloplastyforaorticinsufficiencyusingechocardiographyoneyearaftersurgeryin25patients |