Sjukdom i aortaklaffen och aorta ascendens. Klaffbevarande kirurgi bör övervägas i första hand
Engelsk titel: Diseases of the aortic valve and ascending aorta. Valve-sparing surgery should be considered primarily
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Författare:
Franco-Cereceda A
;
Liksa J
Email: andfra@ki.se
Språk: Swe
Antal referenser: 17
Dokumenttyp:
Artikel
UI-nummer: 08021402
Sammanfattning
Reconstructive surgery represents a new and promising surgical option in diseases of the aortic valve and ascending aorta. Here we report our experience with 55 patients subjected to aortic valve-sparing surgery between 1999 and 2007 followed for 16+12 months (SD). Indications for surgery were either a dilatation of the ascending aorta, an aortic regurgitation, or combination there-off. Of the 55 patients, the majority had the ascending aorta replaced (51/55) while direct aortic valve plasty was performed in only a few (4/55). There were no operative deaths. Preoperatively the aortic regurgitation was estimated to 2.1+0.7 and at follow up to 0.46+0.06. No patient has required re-operation because of recurrent aortic regurgitation. Interestingly, males (41/55) were approximately 10 years younger when operated on compared to females (14/55) but this could be attributed to a higher frequency of bicuspid aortic valve (19/41 for males; 2/14 for females) and a higher occurrence of Marfan syndrome (9/55 for males; 0/14 for females). We conclude that aortic valve sparing procedures can be performed in selected patients with good early results. The long-term results and results in patient subgroups (i.e. bicuspid valves, Marfan patients) remain to be established though.