scholarly journals LEFT VENTRICLE EFFICIENCY IN CHILDREN WITH MODERATE AORTIC VALVE REGURGITATION OR MODERATE AORTIC VALVE STENOSIS

2019 ◽  
Vol 35 (10) ◽  
pp. S116
Author(s):  
M. Asaadi ◽  
W. Mawad ◽  
A. Djebbari ◽  
Z. Keshavarz-Motamed ◽  
L. Kadem ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Left Ventricle ◽  
Aortic Valve Stenosis ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation

scholarly journals Impact of Mild Aortic Valve Disease on Late Outcomes after Replacement of the Ascending Aorta Case-control Study

2021 ◽  
Author(s):  
Ken Nakamura ◽  
Kouan Orii ◽  
Taichi Kondo ◽  
Mitsutaka Nakao ◽  
Makoto Wakatabe ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Stenosis ◽  
Aortic Valve Disease ◽  
Ascending Aorta ◽  
Valve Disease ◽  
Aortic Valve Area ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Tricuspid Aortic Valve ◽  
Valve Area

Abstract Background: The time course of mild aortic valve disease after replacement of the ascending aorta is unclear. We sought to clarify it.Methods: Between January 2011 and December 2016, 26 patients (9 bicuspid and 17 tricuspid aortic valve disease) underwent replacement of the enlarged ascending aorta alone. We compared the postoperative disease course between bicuspid and tricuspid aortic valve by transthoracic echocardiography and computed tomography performed at 73 ± 23 and 60 ± 23 months post-surgery, respectively.Results: The bicuspid group was younger than the tricuspid group (62.1 ± 4.8 vs 73.3 ± 4.8 years). Pathophysiology predominantly involved aortic valve stenosis and regurgitation in the bicuspid and tricuspid group, respectively. The peak and mean pressure gradient increased (P = .16, and P = .46) and the aortic valve area decreased significantly in the bicuspid group (P = .005). Two patients in the bicuspid group who required re-operation had an aortic valve area of 1.2 cm2 at initial operation. Seventy percent of patients in the tricuspid group had less than mild aortic valve regurgitation preoperatively, which improved up to 82% at follow-up. Freedom from re-operation was 66.7% and 100% at 8 years for the bicuspid and tricuspid group, respectively. Conclusions: Aortic valve replacement may be considered for patients with bicuspid aortic valve stenosis if the aortic valve area is less than 1.2 cm2, even if the general diagnosis is mild aortic valve stenosis at initial surgery. Even mild aortic valve regurgitation may be improved by surgical intervention in the ascending aorta.

scholarly journals Concomitant Repair For Mild Aortic Insufficiency And Implantation Of Left Ventricle Mechanical Support

2022 ◽  
Author(s):  
Arun Singhal ◽  
Jarrod Bang ◽  
Anthony L. Panos ◽  
Andrew Feider ◽  
Satoshi Hanada ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Left Ventricle ◽  
Aortic Valve Replacement ◽  
Aortic Insufficiency ◽  
Mechanical Support ◽  
Destination Therapy ◽  
Valve Closure ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Aortic Valve Leaflets

Aortic valve regurgitation in patients undergoing LVAD implantation is a significant complication which occurs in up to 10% of patients in the INTERMACS database. Patients who have aortic valve regurgitation at the time of implant have been handled by several methods, including aortic valve leaflets approximation, to aortic valve replacement or even valve closure. We report a case where we used HAART Ring to repair a regurgitant aortic valve during LAVD implant for destination therapy.

Sign in / Sign up

Export Citation Format

Share Document