Aortic valve repair for aortic regurgitation: intermediate-term results in patients with tricuspid morphology.
OBJECTIVE
Surgical results after aortic valve repair in patients with aortic regurgitation (AR) of tricuspid valve morphology and with no evidence of aortic root disease have not yet been clarified.


METHODS
Between January 1994 and June 2001, aortic valve repair was performed in 40 patients (eight females, 32 males; mean age 61.0 +/- 10.5 years) of this type. Surgical results and follow up data were summarized after aortic valve repair (for AR) in these patients.


RESULTS
One patient died in hospital (mortality 2.5%). The mean cardiopulmonary bypass time was 143.5 +/- 47.4 min, and mean aortic cross-clamp time 99.8 +/- 34.3 min. At follow up, the mean AR grade was 1.5 +/- 0.8 and mean NYHA class 1.0 +/- 0; both parameters showed significant improvement compared to preoperative status (p < 0.0001). Survival was 94.9% at one year and 82.6% at five years. The five-year reoperation-free rate was 87%.


CONCLUSIONS
Aortic valve repair for AR in patients with tricuspid valve morphology is a safe procedure that provides good intermediate-term results.
Izumoto
Hiroshi
H
Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, Iwate Medical University, Iwate, Japan. hizumoto@cc.okiyama-u.ac.jp
Kawazoe
Kohei
K
Oka
Takanori
T
Kazui
Toshinobu
T
Kawase
Tetsunori
T
Nasu
Masataka
M
D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*