Aortic root remodeling and aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease

Lysenko A.V.; Salagaev G.I.; Lednev P.V.; Nikityuk T.G.; Belov Yu.V.

doi:https://doi.org/10.17116/hirurgia202204111

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

SPIN RSCI: 3762-5589
Scopus AuthorID: 57196860046
ResearcherID: E-2696-2019
ORCID: 0000-0002-8394-4116

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7210-8366

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3033-4146

Nikityuk T.G.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0003-4192-7366

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Aortic root remodeling and aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease

Authors:

Lysenko A.V., Salagaev G.I., Lednev P.V., Nikityuk T.G., Belov Yu.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(4): 11‑17

DOI: 10.17116/hirurgia202204111

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To cite this article:

Lysenko AV, Salagaev GI, Lednev PV, Nikityuk TG, Belov YuV. Aortic root remodeling and aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease. Pirogov Russian Journal of Surgery. 2022;(4):11‑17. (In Russ.)
https://doi.org/10.17116/hirurgia202204111

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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OBJECTIVE

Analysis of the outcomes after aortic root remodeling with aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease.

MATERIAL AND METHODS

There were 19 patients with connective tissue dysplasia, aneurysm of aortic root and/or ascending aorta and aortic regurgitation between September 2020 and December 2021. All patients underwent aortic root remodeling with aortic valve annuloplasty.

RESULTS

Mean time of cardiopulmonary bypass was 148.7±23.5 min, aortic clamping — 117.3±19.5 min. According to postoperative transthoracic echocardiography, mild aortic regurgitation was observed in 6 patients, 13 patients had no regurgitation. There was no in-hospital mortality or significant cardiovascular complications. Freedom from moderate-to-severe aortic regurgitation after 14 months was 94.7%, overall survival — 100%.

CONCLUSION

Aortic root remodeling is characterized by favorable hemodynamic efficiency and low complication rate. Further accumulation of data with clinical analysis are planned for a more accurate assessment of effectiveness of surgical treatment, determination of predictors of successful reconstruction, development of indications, contraindications and a personalized algorithm for patient selection.

Keywords:

aortic root

aneurysm

remodeling

aortic insufficiency

Authors:

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

SPIN RSCI: 3762-5589
Scopus AuthorID: 57196860046
ResearcherID: E-2696-2019
ORCID: 0000-0002-8394-4116

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7210-8366

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3033-4146

Nikityuk T.G.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0003-4192-7366

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Received:

20.12.2021

Accepted:

11.01.2022

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