- Koşuyolu Heart Journal
- Vol: 26 Issue: 2
- Mid-Term Results of Aortic Valve Sparing Root Surgery Operations
Mid-Term Results of Aortic Valve Sparing Root Surgery Operations
Authors : Berra Zümrüt Tan Recep, Deniz Göksedef
Pages : 55-61
View : 24 | Download : 56
Publication Date : 2023-07-12
Article Type : Research Article
Abstract :Introduction: In this study, we retrospectively analyzed the mid-term outcomes of patients who underwent aortic valve-sparing root replacement (VSARR). Patients and Methods: Ninety-six patients operated on due to annuloaortic ectasia in our clinic between 2012 and 2016 were examined. Twenty-four patients who underwent VSARR were included in the study. They were evaluated using echocardiography and computed tomography in terms of mortality and reoperation according to their preoperative demographic characteristics, aortic regurgitation (AR), and annular dilatation levels. Results: The early mortality rate was 12.5% (n= 3) and was associated with emergency operation and total arch replacement. The mean follow-up was 33.00 ± 9.53 months. The early mortality rate was 12.5% (n= 3) and was associated with emergency surgery and total arch replacement (p= 0.035, p 0.05). There was no difference in valve durability between the use of Dacron and Valsalva grafts (p= 0.724, p> 0.05). Conclusion: For patients with aortic root aneurysms, elective VSARR is a good surgical option. However, the presence of comorbidities is related to high mortality because it necessitates urgent and complicated surgery for patients with aortic dissection.Keywords : Valve-sparing aortic root replacement, acute aortic dissection, marfan syndrome, , bicuspid aortic valve