Valved conduit operation for aortic regurgitation associated with Behçet's disease.
OBJECTIVE
Aortic regurgitation associated with Behçet's disease is rare, and prosthetic valve detachment after aortic valve replacement is one of the most serious complications reported. We have investigated the surgical results of valved conduit operation in 8 patients.


METHODS
Between 1987 and April 1999, 8 patients underwent surgery. There were 7 males and 1 female, and their ages ranged from 33 to 60 years (mean, 48 +/- 10 years). The valved conduit procedure was a modified Bentall operation.


RESULTS
One patient died of arrhythmia during the hospital stay. The follow-up period in the other 7 patients ranged from 1 to 138 months after surgery (mean, 74 months). None of these 7 patients died during the follow-up period. Valve detachment needing redo-operation occurred in 1 patient, and he underwent a valved conduit operation again.


CONCLUSIONS
Valved conduit reconstruction is indicated in patients with aortic regurgitation caused by Behçet's disease, in whom prevention of valve detachment is difficult even by current valve fixation methods.
Ando
M
M
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Sasako
Y
Y
Okita
Y
Y
Tagusari
O
O
Kitamura
S
S
D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001528:Behcet Syndrome / Q000150:complications*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged