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Should Sinus of Valsalva be Replaced in Patients with Dilated Ascending Aorta and Aortic Valve Diseases?

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dc.contributor.authorKÖKSAL, CENGİZ
dc.contributor.institutionauthorCANTÜRK, EMIR
dc.contributor.institutionauthorKÖKSAL, CENGİZ
dc.date.accessioned2019-10-05T12:52:09Z
dc.date.available2019-10-05T12:52:09Z
dc.date.issued2018-06-01
dc.description.abstractIntroduction: 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.en
dc.identifier10.1016/j.jcrs.2011.08.033
dc.identifier.citationKÖKSAL 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
dc.identifier.doi10.21470/1678-9741-2018-0093
dc.identifier.pubmed30652746
dc.identifier.scopus85060098891
dc.identifier.urihttps://hdl.handle.net/20.500.12645/777
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326450/
dc.identifier.wosWOS:000456253800009
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.subjectSinus
dc.subjectDilated Ascending Aorta
dc.subjectAortic Valve Diseases
dc.titleShould Sinus of Valsalva be Replaced in Patients with Dilated Ascending Aorta and Aortic Valve Diseases?
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameJournal of cataract and refractive surgery
local.avesis.id10ea70b0-0a03-4ce9-9cc8-8be439f75645
local.avesis.response647
local.org.facultyTıp Fakültesi
local.publication.isinternational1
relation.isAuthorOfPublicationb0d158f9-ac80-4a4c-9d7f-306ca50800f4
relation.isAuthorOfPublicationf41b96be-7c5b-4892-9a4a-ca27286bec0a
relation.isAuthorOfPublication.latestForDiscoveryb0d158f9-ac80-4a4c-9d7f-306ca50800f4
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