DEL NIDO CARDIOPLEGIA IS A SAFE ALTERNATIVE FOR USE IN PATIENTS UNDERGOING AORTIC VALVE REPLACEMENT WITH CONCOMITANT ASCENDING AORTIC REPLACEMENT SURGERY

2016 ◽  
Vol 32 (10) ◽  
pp. S230-S231
Author(s):  
R. Hamad ◽  
A. Nguyen ◽  
D. Bouchard ◽  
Y. Lamarche ◽  
I. El Hamamsy ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Safe Alternative ◽  
Replacement Surgery ◽  
Aortic Replacement ◽  
Ascending Aortic Replacement

scholarly journals Does the 45 mm Size Cutoff for Ascending Aortic Replacement Predict Better Early Outcomes in Bicuspid Aortic Valve?

2021 ◽  
Author(s):  
Yi-Jia Li ◽  
Wei-Guo Ma ◽  
Yue Qi ◽  
Jun-Ming Zhu ◽  
Ya Yang ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Adverse Events ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Aortic Replacement ◽  
Ascending Aortic Replacement ◽  
Size Criterion

Abstract Background The aim of this study is to test if the newly proposed 45 mm size criterion for ascending aortic replacement (AAR) in bicuspid aortic valve (BAV) patients undergoing aortic valve replacement (AVR) is predictive of improved early outcomes. Methods Data of 306 BAV patients with an aortic diameter of ≥45 mm undergoing AVR alone or with AAR were retrospectively analyzed. Patients were divided into groups of AVR + AAR (n = 220) and AVR only (n = 86) based on if surgery was performed according to the 45 mm criterion. End point was early adverse events, including 30-day and in-hospital mortality, cardiac events, acute renal failure, stroke, and reoperation for bleeding. Cox regression was used to assess if conformance to 45 mm criterion could predict fewer early adverse events. Results AVR + AAR group had significantly higher postoperative left ventricular ejection fraction (LVEF) (0.59 ± 0.09 vs. 0.55 ± 0.11, p = 0.006) and longer cardiopulmonary bypass (CPB) time (128 vs. 111 minutes, p = 0.002). Early adverse events occurred in 45 patients (14.7%), which was more prevalent in the AVR-only group (22.1% vs. 11.8%, p = 0.020). Conformance to the 45 mm criterion predicted lower rate of early adverse events (hazard ratio [HR]: 0.53, 95% confidence interval [CI]: 0.28–0.98, p = 0.042). After adjustment for gender, age, AAo diameter, sinuses of Valsalva diameter, preoperative LVEF, Sievers subtypes, BAV valvulopathy, and CPB and cross-clamp times, conformance to the 45 mm size criterion still predicted lower incidence of early adverse events (HR: 0.37, 95% CI: 0.15–0.90, p = 0.028). Conclusions This study shows that conformance to 45 mm size cutoff for preemptive AAR during aortic valve replacement in patients with BAV was not associated with increased risk for adverse events and may improve early surgical outcomes.

scholarly journals Perceval sutureless aortic valve replacement after ascending aortic replacement

2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Shin Yajima ◽  
Ayaka Satoh ◽  
Naosumi Sekiya ◽  
Sachiko Yamazaki ◽  
Hisashi Uemura ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Replacement ◽  
Ascending Aortic Replacement

scholarly journals J-ministernotomy for aortic valve replacement: a retrospective cohort study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Mohammad A. Torky ◽  
Amr A. Arafat ◽  
Hosam F. Fawzy ◽  
Abdelhady M. Taha ◽  
Ehab A. Wahby ◽  
...  
Keyword(s):  
Cohort Study ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Permanent Pacemaker ◽  
Safe Alternative ◽  
Free Survival ◽  
Pacemaker Insertion ◽  
Cardiac Operations ◽  
Low Ejection Fraction

Abstract Background The advantage of minimally invasive sternotomy (MS) over full sternotomy (FS) for isolated aortic valve replacement (AVR) is still controversial. We aimed to examine if J-shaped MS is a safe alternative to FS in patients undergoing primary isolated AVR. This study is a retrospective and restricted cohort study that included 137 patients who had primary isolated AVR from February 2013 to June 2015. Patients with previous cardiac operations, low ejection fraction (< 40%), infective endocarditis, EuroSCORE II predicted mortality > 10%, and patients who had inverted T or inverted C-MS or right anterior thoracotomy were excluded. Patients were grouped into the FS group (n=65) and MS group (n=72). Preoperative variables were comparable in both groups. The outcome was studied, balancing the groups by propensity score matching. Results Seven (9%) patients in the MS group were converted to FS. Cardiopulmonary bypass (98.5 ± 29.3 vs. 82.1 ± 13.95 min; p ≤ 0.001) and ischemic times (69.1 ± 23.8 vs. 59.6 ± 12.2 min; p = 0.001) were longer in MS. The MS group had a shorter duration of mechanical ventilation (10.1 ± 11.58 vs. 10.9 ± 6.43 h; p = 0.045), ICU stay (42.74 ± 40.5 vs. 44.9 ± 39.3; p = 0.01), less chest tube drainage (385.3 ± 248.6 vs. 635.9 ± 409.6 ml; p = 0.001), and lower narcotics use (25.14 ± 17.84 vs. 48.23 ± 125.68 mg; p < 0.001). No difference was found in postoperative heart block with permanent pacemaker insertion or atrial fibrillation between groups (p = 0.16 and 0.226, respectively). Stroke, renal failure, and mortality did not differ between the groups. Reintervention-free survival at 1, 3, and 4 years was not significantly different in both groups (p = 0.73). Conclusion J-ministernotomy could be a safe alternative to FS in isolated primary AVR. Besides the cosmetic advantage, it could have better clinical outcomes without added risk.

Outcomes after Mitral and Aortic Valve Replacement Surgery: Comparison and Predictors

2011 ◽  
Vol 20 (1) ◽  
pp. 53
Author(s):  
Mahmoon Shirzad ◽  
Abbasali Karimi ◽  
Seyed Hossein Ahmadi ◽  
Samaneh Dowlatshahi ◽  
Saeed Davoodi ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Replacement Surgery ◽  
Valve Replacement Surgery

scholarly journals (The effect of cardiac venting technique for aortic valve replacement surgery on the incidence of postoperative atrial fibrillation)

Cor et Vasa ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. e411-e419
Author(s):  
Tomáš Toporcer ◽  
Andrea Kraus ◽  
Tomáš Grendel ◽  
Milan Bajmoczi ◽  
Adrián Kolesár ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Postoperative Atrial Fibrillation ◽  
Replacement Surgery ◽  
Valve Replacement Surgery
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