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Journal of Medical Sciences
  Year: 2008 | Volume: 8 | Issue: 3 | Page No.: 321-324
DOI: 10.3923/jms.2008.321.324
 
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Is Conservative Repair an Acceptable Way for Treatment of the Regorgitant Bicuspid Aortic Valve

Shervin Ziabakhsh Tabary

Abstract:

From August 1997 to December 2000, 19 patients with aortic regurgitation due to congenital aortic valve underwent aortic valve repair (17 men and 2 women with a mean age of 42 ± 17 years; range, 16 to 70 years). The mean preoperative aortic regurgitation grade was 3.1 ± 0.8 on a scale of 1 to 4. Mean preoperative New York Heart Association functional class was 1.9 ± 0.8. Fourteen patients had pure aortic regurgitation, 2 also had infectious endocarditis, 1 had angina pectoris and 2 had an ascending aortic aneurysm. There was 1 hospital death (5.2%) and 1 patient required re-operation due to recurrent infectious endocarditis. Mean aortic regurgitation grade at discharge was 1.1 ± 0.9 and functional class was 1.1 ± 0.2. All patients were followed for a mean duration of 40 ± 23 months (range, 0.5 to 84 months). There was 1 late death and two patients required aortic valve replacement. The 5-year survival rate was 90 ± 7%. The 1 and 5-year re-operation-free rates were 87 ± 12 and 76 ± 23%. Bicuspid aortic valve repair is a safe procedure with good early postoperative results. However midterm results are not satisfactory. Re-operation is a promising alternative and progress aortic regurgitation were complications. Bicuspid aortic valve repair to valve replacement that requires additional study to individualize treatment.

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How to cite this article:

Shervin Ziabakhsh Tabary , 2008. Is Conservative Repair an Acceptable Way for Treatment of the Regorgitant Bicuspid Aortic Valve . Journal of Medical Sciences, 8: 321-324.

DOI: 10.3923/jms.2008.321.324

URL: https://scialert.net/abstract/?doi=jms.2008.321.324

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