From: Aortic valve replacement in pediatric patients: 30 years single center experience
Characteristic | Mechanical AVR | Homograft/bioprosthetic AVR | p value |
---|---|---|---|
Aortic valve replacement | |||
Mechanical AVR | 22 | – | |
Mechanical Bentall | 11 | – | |
Bioprosthetic AVR | – | 6 | |
Homograft AVR | – | 21 | |
Valves implanteda | |||
Mechanical/Bentall | |||
Carbomedics | 12 (36.4) | – | |
St. Jude Medical | 11 (33.3) | – | |
On–X | 4 (12.1) | – | |
Duromedics | 3 (9.1) | – | |
ATS | 2 (6.1) | – | |
Björk-Shiley Monostrut | 1 (3) | – | |
Bioprosthetic | |||
Inspiris Resilia | – | 2 (7.4) | |
Mosaic | – | 2 (7.4) | |
Sorin Pericarbon Stentless | – | 1 (3.7) | |
Tissuemed Freestyle Root | – | 1 (3.7) | |
Homograft | |||
Homograft bank | – | 15 (55.6) | |
Decellularized Corlife | – | 5 (18.5) | |
CryoLife homograft | – | 1 (3.7) | |
Age at time of surgery (years) | 13.6 (9.7–15.7) | 8.9 (2.4–14.4) | 0.004 |
Weight at time of surgery (kg) | 41.7 (24.5–63) | 31.5 (12.5–50.2) | 0.081 |
Height at time of surgery (cm) | 149 (129–171) | 139 (95–158) | 0.064 |
BSAHaycock at time of surgery | 1.31 (0.93–1.77) | 1.11 (0.56–1.53) | 0.105 |
Median Valve size (mm) | 21 (range 17–27) | 20 (range 9–25) | 0.003 |
Indication for surgery | 0.740 | ||
Aortic valve stenosis | 1 (3.0) | 2 (7.4) | |
Aortic valve regurgitation | 23 (69.7) | 17 (63) | |
Mixed aortic valve lesion | 9 (27.3) | 8 (29.6) | |
Bacterial endocarditis | 2 (6.1) | 2 (7.4) | > 0.99 |
Rheumatic valve disease | 3 (9.1) | 0 (0) | 0.245 |
Prior cardiac surgery | 23 (69.7) | 17 (63) | 0.596 |
Prior aortic valve surgery | 12 (36.4) | 14 (51.9) | 0.297 |
Prior balloon aortic valvuloplasty | 3 (9.1) | 7 (25.9) | 0.097 |
Time from last surgical aortic valve operation (years) | 5 (1.6–7.9) | 0.6 (0.04–3.3) | 0.006 |
Operative variable | |||
ACCT (min) | 95 (66.5–151) | 95 (70–129) | 0.969 |
CPB (min) | 158 (103–233) | 154 (90–235) | 0.682 |
Circulatory arrest | 5 (15.2) | 1 (3.7) | 0.209 |
Concomitant procedure | 16 (48.5) | 12 (44.4) | 0.799 |
Aortic annulus enlargement | 0.745 | ||
Nicks | 1 (3) | 0 (0) | |
Manougian | 2 (6.1) | 0 (0) | |
Konno | 1 (3) | 1 (3.7) |