TY  - JOUR
AU  - Bori Bata, Abdel-Kémal
AU  - D’Ostrevy, Nicolas
AU  - Pereira, Bruno
AU  - Geoffroy, Etienne
AU  - Dauphin, Nicolas
AU  - Eljezi, Vedat
AU  - Azarnoush, Kasra
AU  - Ulman, Lucie
AU  - Camilleri, Lionel
PY  - 2017
TI  - Valve-sparing aortic root replacement—midterm outcomes and quality of life
JF  - Cardiovascular Diagnosis and Therapy; Vol 7, No 6 (December 13, 2017): Cardiovascular Diagnosis and Therapy
Y2  - 2017
KW  - 
N2  - Background: This study evaluated the midterm outcomes, the valve related events and quality of life of patients treated by valve-sparing aortic root replacement (VSRR).   Methods: From January 2003 to December 2014, 88 con-secutive patients diagnosed with an aortic root aneurysm or ascending aortic aneurysms underwent VSRR surgery. The mean age was 55±14 (range 19–77) years. A total of 84% of the patients were male; 89% were in New York Heart Association functional class I or II, 55% had aortic regurgitation (AR) grade III or IV. Twenty-four patients (27.3%) had bicuspid aortic valve. The mean left ventricular ejection fraction (LVEF) was 61%±9% (range 29–78%). Patients were yearly followed by family doctors and referent cardi-ologists. Doppler echocardiographic examinations were obtained annually in all patients. The midterm clinical, echocardiographic results and quality of life were analyzed. The mean follow-up was 5.3±3 (range 1–12) years.   Results: Hospital mortality was 1%. There were ten late deaths (11%) including 5 cardiac cases. Two patients (2%) required an aortic valve or graft prosthesis reoperation. Aortic valve endocarditis occurred in two patients. Thromboembolic events were reported in 3 patients. None of the following morbidity has been observed: structural valve deterioration, nonstructural dysfunction, valve thrombosis, bleeding event. The 5- and 8-year survival were 92% and 88%, respectively. The 8-year survival free from cardiac death was 88%. The mean of EuroQoL visual analogue scale (EQ VAS) and EQ index were respectively 83±15 (range 30–100) and 0.94±0.12 (range 0.5–1).   Conclusions: Eight-year clinical improvement, function of the spared aortic valve and quality of life after valve sparing aortic root surgery appear excellent.
UR  - https://cdt.amegroups.org/article/view/16212