Ciruguía reparadora de la válvula aórtica bicúspide insuficiente

Background: Surgical valve repair is a good alternative for correction of incompetent bicuspid aortic valve. Aim: To report the early and late surgical, clinical and ecochardiographic results of surgical repair of incompetent bicuspid aortic valves. Patients and methods: Retrospective review of medi...

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Autores principales:	Zalaquett S,Ricardo, Camplá C,Cristóbal, Scheu G,Maximiliano, Córdova A,Samuel, Becker R,Pedro, Morán V,Sergio, Irarrázaval Ll,Manuel J, Baeza P,Cristian, Arretz V,Claudio, Braun J,Sandra, Chamorro S,Gastón, Godoy J,Iván, Yáñez D,Fernando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Aortic valve Cardiovascular surgical procedures Heart valve prosthesis implantation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300002
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spelling	oai:scielo:S0034-988720050003000022005-05-17Ciruguía reparadora de la válvula aórtica bicúspide insuficienteZalaquett S,RicardoCamplá C,CristóbalScheu G,MaximilianoCórdova A,SamuelBecker R,PedroMorán V,SergioIrarrázaval Ll,Manuel JBaeza P,CristianArretz V,ClaudioBraun J,SandraChamorro S,GastónGodoy J,IvánYáñez D,Fernando Aortic valve Cardiovascular surgical procedures Heart valve prosthesis implantation Background: Surgical valve repair is a good alternative for correction of incompetent bicuspid aortic valve. Aim: To report the early and late surgical, clinical and ecochardiographic results of surgical repair of incompetent bicuspid aortic valves. Patients and methods: Retrospective review of medical records of 18 patients aged 19 to 61 years, with incompetent bicuspid aortic valve in whom a valve repair was performed. Four patients had infectious endocarditis and 17 were in functional class I or II. Follow up ranged from 3 to 113 months after surgery. Results: A triangular resection of the prolapsing larger cusp, which included the middle raphe, was performed in 17 cases; in 13 of these, a complementary subcommisural annuloplasty was performed. In the remaining case, with a perforation of the non-coronary cusp, a pericardial patch was implanted; this procedure was also performed in 2 other cases. In 3 cases large vegetations were removed. Postoperative transesophageal echocardiography showed no regurgitation in 11 patients (62%) and mild regurgitation in 7 (38%). There was no operative morbidity or mortality. There were no deaths during the follow-up period. In 3 patients (17%) the aortic valve was replaced with a mechanical prosthesis, 8 to 108 months after the first operation. Reoperation was not needed in 93%±6,4% at 1 year and 85%±9,5% at 5 years, these patients were all in functional class I at the end of the follow-up period. 60% had no aortic regurgitation, 20% had mild and 20% moderate aortic regurgitation on echocardiographic examination. A significant reduction of the diastolic diameter of the left ventricle was observed, but there were no significant changes in systolic diameter or shortening fraction. Conclusions: Surgical repair of incompetent bicuspid aortic valves has low operative morbidity and mortality and has a low risk of reoperation (Rev Méd Chile 2005; 133: 279-86)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.3 20052005-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300002es10.4067/S0034-98872005000300002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic valve Cardiovascular surgical procedures Heart valve prosthesis implantation
spellingShingle	Aortic valve Cardiovascular surgical procedures Heart valve prosthesis implantation Zalaquett S,Ricardo Camplá C,Cristóbal Scheu G,Maximiliano Córdova A,Samuel Becker R,Pedro Morán V,Sergio Irarrázaval Ll,Manuel J Baeza P,Cristian Arretz V,Claudio Braun J,Sandra Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
description	Background: Surgical valve repair is a good alternative for correction of incompetent bicuspid aortic valve. Aim: To report the early and late surgical, clinical and ecochardiographic results of surgical repair of incompetent bicuspid aortic valves. Patients and methods: Retrospective review of medical records of 18 patients aged 19 to 61 years, with incompetent bicuspid aortic valve in whom a valve repair was performed. Four patients had infectious endocarditis and 17 were in functional class I or II. Follow up ranged from 3 to 113 months after surgery. Results: A triangular resection of the prolapsing larger cusp, which included the middle raphe, was performed in 17 cases; in 13 of these, a complementary subcommisural annuloplasty was performed. In the remaining case, with a perforation of the non-coronary cusp, a pericardial patch was implanted; this procedure was also performed in 2 other cases. In 3 cases large vegetations were removed. Postoperative transesophageal echocardiography showed no regurgitation in 11 patients (62%) and mild regurgitation in 7 (38%). There was no operative morbidity or mortality. There were no deaths during the follow-up period. In 3 patients (17%) the aortic valve was replaced with a mechanical prosthesis, 8 to 108 months after the first operation. Reoperation was not needed in 93%±6,4% at 1 year and 85%±9,5% at 5 years, these patients were all in functional class I at the end of the follow-up period. 60% had no aortic regurgitation, 20% had mild and 20% moderate aortic regurgitation on echocardiographic examination. A significant reduction of the diastolic diameter of the left ventricle was observed, but there were no significant changes in systolic diameter or shortening fraction. Conclusions: Surgical repair of incompetent bicuspid aortic valves has low operative morbidity and mortality and has a low risk of reoperation (Rev Méd Chile 2005; 133: 279-86)
author	Zalaquett S,Ricardo Camplá C,Cristóbal Scheu G,Maximiliano Córdova A,Samuel Becker R,Pedro Morán V,Sergio Irarrázaval Ll,Manuel J Baeza P,Cristian Arretz V,Claudio Braun J,Sandra Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando
author_facet	Zalaquett S,Ricardo Camplá C,Cristóbal Scheu G,Maximiliano Córdova A,Samuel Becker R,Pedro Morán V,Sergio Irarrázaval Ll,Manuel J Baeza P,Cristian Arretz V,Claudio Braun J,Sandra Chamorro S,Gastón Godoy J,Iván Yáñez D,Fernando
author_sort	Zalaquett S,Ricardo
title	Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
title_short	Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
title_full	Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
title_fullStr	Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
title_full_unstemmed	Ciruguía reparadora de la válvula aórtica bicúspide insuficiente
title_sort	ciruguía reparadora de la válvula aórtica bicúspide insuficiente
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300002
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Ciruguía reparadora de la válvula aórtica bicúspide insuficiente

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