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  • Open Access

Surgical treatment of bicuspid aortic valve disease

  • 1Email author,
  • 1,
  • 1,
  • 1,
  • 2,
  • 2 and
  • 3
Journal of Cardiothoracic Surgery20138(Suppl 1):P7

https://doi.org/10.1186/1749-8090-8-S1-P7

Published: 11 September 2013

Keywords

  • Aortic Valve
  • Aortic Valve Replacement
  • Acute Heart Failure
  • Bicuspid Aortic Valve
  • Multiorgan Failure

Background

Congenital bicuspid aortic valve (BAV) – one of the most frequent cardiovascular lesions, with prevalence up to 2.4%. About a half of them need the surgical treatment throughout life.

Methods

1217 patients with BAV were treated in the Institute during 2003−2012. There were 902 (74.1%) males. Patients age ranged from 3 days to 76 years, mean 50.2±9,8 years. Aneurysm of ascending aorta took place in 380 (31.2%) pts, 39 (10,3%) of them admitted with dissection. We use: balloon valvuloplasty in 82 (8.1%) patients. Different operative interventions were fulfilled to the rest :1135 (93,3%) pts: open aortic valvotomy − 64 (5,3%), aortic valve replacement (AVR) – 691 (56.8%), AVR with ascending aorta banding – in 83 (6,8%), Robicsek operation – 121 (10.0%), Bentall’s operation – 162 (13.3%), Wheat’s operation – 9 (0.7%), supracoronary aortic grafting with AV resurpension – 3 (0.2%), David’s operation – 2 (0.2%); 51 (4.2%) patients with BAV treated of coarctation of the aorta earlier.

Results

Total 30-day mortality composed 2.3% (26 pts). Death causes: acute heart failure – in 13 (1,1%); respiratory insufficiency – in 4 (0.3%), bleeding – in 2 (0.2%), multiorgan failure – in 4 (0,3%), cerebral injury – in 3 (0.2%). Remote results were studied in 1110 (93.7%) discharged patients in term 6 months – 9 years, mean 3,6±1,2. In mostly – 84.4% and 10.9% it was good and satisfactory. Unsatisfactory in 23 (2.0%), died in remote terms 27 (2,4%) pts. Redo operation were performed in 14 (2.1%) pts after AVR in a reason of aneurysm forming.

Conclusion

Bicuspid aortic valve disease characterized by injury of aortic valve and ascending aorta. Aneurysm forming were observed in 380 (31.2%) patients with BAV, among them in 39 (10.3%) with dissection. Redo operations in a reason of aneurysm forming needs 2.1% in the elective AVR group. Operative treatment of patients with BAV permitted to obtain good and satisfactory remote results in 84.4% and 10.9% cases.

Authors’ Affiliations

(1)
Department of Aortic Surgery, M. Amosov National Institute of CVS NAMS Ukraine, Kyiv, Ukraine
(2)
Department of Congenital Heart Liason, M. Amosov National Institute of CVS NAMS Ukraine, Kyiv, Ukraine
(3)
M. Amosov National Institute of CVS NAMS Ukraine, Kyiv, Ukraine

Copyright

© Kravchenko et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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