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Karadzha A.V.

Meshalkin National Medical Research Center

Bogachev-Prokofiev A.V.

Meshalkin National Medical Research Center

Sharifulin R.M.

Meshalkin National Medical Research Center

Chernyavskiy A.M.

National Medical Research Center

Valve-sparing surgery for bicuspid aortic valve: intermediate results and predictors of aortic regurgitation

Authors:

Karadzha A.V., Bogachev-Prokofiev A.V., Sharifulin R.M., Chernyavskiy A.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4): 300‑307

DOI: 10.17116/kardio202114041300

Read: 1778 times

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Table of contents

VALVE-SPARING SURGERY FOR BICUSPID AORTIC VALVE: INTERMEDIATE RESULTS AND PREDICTORS OF AORTIC REGURGITATION
VALVE-SPARING SURGERY FOR BICUSPID AORTIC VALVE: INTERMEDIATE RESULTS AND PREDICTORS OF AORTIC REGURGITATION

To cite this article:

Karadzha AV, Bogachev-Prokofiev AV, Sharifulin RM, Chernyavskiy AM. Valve-sparing surgery for bicuspid aortic valve: intermediate results and predictors of aortic regurgitation. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4):300‑307. (In Russ.)
https://doi.org/10.17116/kardio202114041300

 
ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the early and mid-term results of valve-sparing interventions on the aortic valve, including concomitant ascending aorta repair in adults with bicuspid aortic valve.

MATERIAL AND METHODS

The study retrospectively included 65 patients with bicuspid aortic valve and indications for surgery for aortic insufficiency and/or ascending aorta aneurysm. All patients were treated at the Meshalkin National Medical Research Center for the period 2016—2020. All patients underwent aortic valve repair and, if necessary, aortic root reconstruction.

RESULTS

In-hospital and long-term mortality was absent. The mean follow-up period was 17.2±1.8 months. In the postoperative period, 4 (6.2%) patients had moderate aortic regurgitation, 2 (3.1%) patients — severe aortic regurgitation. There were no cases of redo surgery. According to multivariate regression analysis, two significant risk factors of aortic regurgitation recurrence were identified: Sievers type 2 aortic valve (p=0.003, HR 33.44) and RN valve type (p=0.001, HR 17.43). Freedom from aortic regurgitation recurrence after 1 and 3 years was 100% and 78.3%, respectively.

CONCLUSION

Aortic valve repair in patients with bicuspid aortic valve is absolutely safe and ensures high freedom from aortic regurgitation recurrence. This method of surgical treatment should be widely introduced into clinical practice.

Keywords:

bicuspid aortic valve
aortic valve disease
aortic aneurysm
aortopathy

Authors:

Karadzha A.V.

Meshalkin National Medical Research Center

Bogachev-Prokofiev A.V.

Meshalkin National Medical Research Center

Sharifulin R.M.

Meshalkin National Medical Research Center

Chernyavskiy A.M.

National Medical Research Center

Received:

22.03.2021

Accepted:

07.04.2021

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