Abstract：
:In this study, we retrospectively analyzed the outcomes of adults with bicuspid aortic valve (BAV) disease who underwent aortic valve reconstructive surgery (AVRS), consisting of replacement of the diseased BAV with 2 or 3 pericardial leaflets plus fixation of the sinotubular junction for accurate and constant leaflet coaptation. From December 2007 through April 2013, 135 consecutive patients (mean age, 49.2 ± 13.1 yr; 73.3% men) with symptomatic BAV disease underwent AVRS. Raphe was observed in 84 patients (62.2%), and the remaining 51 patients had pure BAV without raphe. A total of 122 patients (90.4%) underwent 3-leaflet reconstruction, and 13 (9.6%) underwent 2-leaflet reconstruction. Concomitant aortic wrapping with an artificial graft was performed in 63 patients (46.7%). There were no in-hospital deaths and 2 late deaths (1.5%); 6 patients (4.4%) needed valve-related reoperation. The 5-year cumulative survival rate was 98% ± 1.5%, and freedom from valve-related reoperation at 5 years was 92.7% ± 3.6%. In the last available echocardiograms, aortic regurgitation was absent or trivial in 116 patients (85.9%), mild in 16 (11.9%), moderate in 2 (1.5%), and severe in one (0.7%). The mean aortic valve gradient was 10.2 ± 4.5 mmHg, and the mean aortic valve orifice area index was 1.3 ± 0.3 cm(2)/m(2). The 3-leaflet technique resulted in lower valve gradients and greater valve areas than did the 2-leaflet technique. Thus, in patients with BAV, AVRS yielded satisfactory early and midterm results with low mortality rates and low reoperation risk after the initial procedure.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Song MG,Yang HS,Choi JB,Shin JK,Chee HK,Kim JSdoi
10.14503/THIJ-13-3619subject
Has Abstractpub_date
2014-12-01 00:00:00pages
585-91issue
6eissn
0730-2347issn
1526-6702journal_volume
41pub_type
杂志文章abstract：:During the management of acute myocardial infarction, we observed that clinical and electrocardiographic indications of myocardial ischemia worsened upon nitroglycerin infusion and were promptly relieved upon streptokinase infusion. Subsequent coronary angiography revealed diffuse ectasia with no significant stenosis....
journal_title：Texas Heart Institute journal
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更新日期：1998-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
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更新日期：1994-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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pub_type： 杂志文章,评审
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更新日期：2002-01-01 00:00:00
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journal_title：Texas Heart Institute journal
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journal_title：Texas Heart Institute journal
pub_type： 杂志文章
doi：
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