Publication: Should Sinus of Valsalva be Replaced in Patients with Dilated Ascending Aorta and Aortic Valve Diseases?
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KÖKSAL, CENGİZ
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Abstract
Introduction: The aim of this study is to investigate the change
in the dimension of sinus of Valsalva in patients who underwent
supracoronary ascending aorta replacement with aortic valve
replacement.
Methods: A total of 81 patients who underwent supracoronary
ascending aorta replacement with aortic valve replacement were
included. Ten of 81 patients died during the follow-up. The patients
were divided into three groups according to the aortic valve
diseases. Group I (n=17) included patients with bicuspid valves,
group II (n=30) included patients with stenotic degenerative valves,
and patients with aortic regurgitation constituted group III (n=24). In
preoperative and follow-up periods, the sinus of Valsalva diameter
of the patients was evaluated by echocardiographic examination.
The mean age was 54.1±15.1 years. Twenty-eight (34.6%) patients
were female and 12 (14.8%) patients were in New York Heart
Association functional class III.
Results: There was no early mortality. Late mortality was
developed in 10 (12.4%) patients, 8 (9.9%) due to non-cardiac
reasons. Late follow-up was obtained in 71 patients with a mean
of 60±30.1 months postoperatively. During follow-up, the increase
in the diameter of the sinus of Valsalva was significant in Group I
(P<0.01), while in Group II and III it was insignificant (P>0.05).
Conclusion: To avoid the risks associated with sinus of Valsalva
dilatation, it is reasonable to replace the sinus of Valsalva in
the setting of aortic valve replacement and ascending aorta
replacement for bicuspid aortic valve with a dilated ascending aorta
and relatively normal sinuses of Valsalva in young patients.
Keywords: Aortic Aneurysm. Aortic Aneurysm, Thoracic/Surgery.
Aorta/Surgery. Aortic Valve/Abnormalities. Bicuspid Aortic Valve.
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KÖKSAL C., -Should Sinus of Valsalva be Replaced in Patients with Dilated Ascending Aorta and Aortic Valve Diseases?-, JOURNAL OF CARDIOVASCULAR SURGERY, cilt.6, ss.573-578, 2018