title: Quality of life after aortic valve surgery: replacement versus reconstruction.
abstract: OBJECTIVE
  Quality of life has been shown to be influenced by aortic valve replacement, particularly in younger patients. Aortic valve repair is a recent alternative to replacement. We investigated quality of life and anxiety and depression after aortic valve repair and compared with 2 established replacement alternatives, mechanical valve and pulmonary autograft.
  
  
  METHODS
  In a cross-sectional study, 166 patients (age, 18-45 years) were studied after isolated elective aortic valve surgery. They had undergone aortic valve repair (group I, n = 86), replacement with mechanical prosthesis (group II, n = 41), or pulmonary autograft (group III, n = 39). Assessment was performed by Short Form Health Survey, Hospital Anxiety and Depression Scale, Cardiac Anxiety Questionnaire, and valve-specific questions.
  
  
  RESULTS
  In Short Form Health Survey, groups I and III revealed similar or identical scores better than group II in physical functioning (P = .02), general health (P = .03), and mental health (P = .05). No differences were found in Hospital Anxiety and Depression Scale score. In cardiac anxiety, there was less heart-focused attention in groups I and III than in group II (P = .043, P = .053). In response to valve-specific questions, there were no differences between groups I and III. Interestingly, fear of reoperation was identical in all 3 groups.
  
  
  CONCLUSIONS
  In young patients after aortic valve surgery quality of life is influenced by type of operation. Although differences are limited, aortic valve reconstruction and pulmonary autograft replacement lead to less long-term alteration from normal values.
authors: Department of Thoracic and Cardiovascular Surgery, University Hospital of Saarland, Homburg/Saar, Germany.
authors: Diana
authors: D
authors: Aicher
authors: Annika
authors: A
authors: Holz
authors: Susanne
authors: S
authors: Feldner
authors: Volker
authors: V
authors: Köllner
authors: Hans-Joachim
authors: HJ
authors: Schäfers
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000209:etiology; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011664:Pulmonary Valve / Q000637:transplantation; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous