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Abstract

We have utilized the combined techniques of subvalvular annuloplasty and leaflet suspension since 1999 to repair prolapsing aortic valves. We reviewed our short-term results to assess perioperative echocardiographic changes and repair durability. Nineteen patients (15 men and 4 women; mean age, 60.7 years) underwent this operation between July 1999 and June 2002. All were interviewed to establish their latest functional status, reoperation and survival rates. After a mean follow-up of 40.1 months, all patients were alive and in New York Heart Association functional class I. The echocardiographic grade of aortic regurgitation decreased from 3.2 preoperatively to 1.6 at follow-up. Left ventricular end-diastolic dimension shortened significantly from 6.2 to 5.2 cm. Left ventricular end-systolic dimension decreased from 4.1 to 3.3 cm. Annulus size was also significantly less at 2.2 cm from 2.5 cm preoperatively. At 48 months, freedom from reoperation was 88.9% ± 7.4%. The follow-up was 100% complete. Repair of a prolapsing aortic valve with leaflet suspension and subvalvular annuloplasty is a good procedure and the short-term results are satisfying.

Keywords

Aortic Valve Insufficiency Cardiovascular Surgical Procedures

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References

David

Armstrong

Ivanov

Webb

. Aortic valve sparing operations: an update. Ann Thorac Surg 1999; 67: 1840–2

Izumoto

Kawazoe

Ishibashi

Kin

Kawase

Nakajima

Aortic valve repair in dominant aortic regurgitation. Jap J Thorac Cardiovasc Surg 2001; 49: 355–9

Izumoto

Kawazoe

Kawase

Kim

. Subvalvular circular annuloplasty as a component of aortic valve repair. J Heart Valve Dis 2002; 11: 383–5

Sarsam

Yacoub

. Remodeling of the aortic valve annulus. J Thorac Cardiovasc Surg 1993; 105: 435–8

David

Feindel

. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 1992; 103: 617–21

Yacoub

Gehle

Chandrasekaran

Birks

Child

Radley-Smith

. Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg 1998; 115: 1080–90

Bethea

Fitton

Alejo

Barreiro

Cattaneo

Dietz

Results of aortic valve-sparing operations: experience with remodeling and reimplantation procedures in 65 patients. Ann Thorac Surg 2004; 78: 767–72

Al Halees

Gometza

Al Sanei

Duran

. Repair of moderate aortic valve lesions associated with other pathology: an 11-year follow-up. Eur J Cardiothorac Surg 2001; 20: 247–51

Schäfers

Aicher

Langer

. Correction of leaflet prolapse in valve-preserving aortic replacement: pushing the limits? Ann Thorac Surg 2002; 74: S1762–4

10.

Odim

Laks

Allada

Child

Wilson

Gjertson

. Results of aortic valve-sparing and restoration with autologous pericardial leaflet extensions in congenital heart disease. Ann Thorac Surg 2005; 80: 647–54

11.

Tao

Zeng

. Replacement of right coronary leaflet with bovine pericardium. Asian Cardiovasc Thorac Ann 2008; 16: 47–9

12.

Hawkins

Kouretas

Holubkov

Williams

Tani

Intermediate-term results of repair for aortic, neoaortic, and truncal valve insufficiency in children. J Thorac Cardiovasc Surg 2007; 133: 1311–7

13.

Carr

Savage

. Aortic valve repair for aortic insufficiency in adults: a contemporary review and comparison with replacement techniques. Eur J Cardiothorac Surg 2004; 25: 6–15

Leaflet Suspension and Subvalvular Annuloplasty in Aortic Valve Prolapse

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