Display options
Cite
Przybylski R, Pawlak S, Śliwka J, et al. Aortic cusp extension valvuloplasty: repair with an extracellular patch. Kardiochir Torakochirurgia Pol. 2015;12(4):314-7doi: 10.5114/kitp.2015.56780.
Przybylski, R., Pawlak, S., Śliwka, J., Urlik, M., Maruszewski, M., Kukulski, T., Nożyński, J., & Zembala, M. (2015). Aortic cusp extension valvuloplasty: repair with an extracellular patch. Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 12(4), 314-7. https://doi.org/10.5114/kitp.2015.56780
Przybylski, Roman, et al. "Aortic cusp extension valvuloplasty: repair with an extracellular patch." Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery vol. 12,4 (2015): 314-7. doi: https://doi.org/10.5114/kitp.2015.56780
Przybylski R, Pawlak S, Śliwka J, Urlik M, Maruszewski M, Kukulski T, Nożyński J, Zembala M. Aortic cusp extension valvuloplasty: repair with an extracellular patch. Kardiochir Torakochirurgia Pol. 2015 Dec;12(4):314-7. doi: 10.5114/kitp.2015.56780. Epub 2015 Dec 30. PMID: 26855646; PMCID: PMC4735531.
Copy Download .nbib Format: NLM
Share it on

Kardiochir Torakochirurgia Pol. 2015 Dec;12(4):314-7. doi: 10.5114/kitp.2015.56780. Epub 2015 Dec 30.

Aortic cusp extension valvuloplasty: repair with an extracellular patch.

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

Roman Przybylski, Szymon Pawlak, Joanna Śliwka, Maciej Urlik, Marcin Maruszewski, Tomasz Kukulski, Jerzy Nożyński, Marian Zembala

Affiliations

  1. Department of Cardiac Surgery and Transplantation, Medical University of Silesia in Katowice, School of Medicine with Division of Dentistry in Zabrze, Silesian Center for Heart Diseases, Poland.
  2. 1 Department of Cardiology, Medical University of Silesia in Katowice, School of Medicine with Division of Dentistry in Zabrze, Silesian Center for Heart Diseases, Poland.
  3. Histopathology lab, Silesian Center for Heart Diseases, Poland.

PMID: 26855646 PMCID: PMC4735531 DOI: 10.5114/kitp.2015.56780

Abstract

INTRODUCTION: The proportion of valve repair procedures is increasing in experienced centers. The aim of the study was to assess the clinical and echocardiographic outcomes after aortic valve reconstruction with a novel surgical technique.

MATERIAL AND METHODS: The study group consisted of 30 patients (23 male and 7 female) at a mean age of 35 ± 14 years. In patients with aortic root aneurysm the reimplantation or Florida sleeve technique was used. A sub-commissural annuloplasty, plication of the free edge of the cusp, shaving, and commissurotomy were performed. At this stage of surgery aortic repair was then attempted by cusp extension. Since 2013 the strips have been tailored from extracellular matrix.

RESULTS: The mean aortic cross-clamp time was 90 ± 32 min. The mean cardiopulmonary bypass time was 126 ± 38 min. There was no in-hospital death. Re-exploration for bleeding was required in 1 patient. During follow-up, 1 patient needed reoperation at 1 year due to endocarditis. All patients remained alive in New York Heart Association (NYHA) functional class I. The echocardiographic findings remained unchanged in all cases during follow-up.

CONCLUSIONS: Our modification of aortic valve repair results in a good outcome.

Keywords: aortic valve repair; cusp extension

References

  1. Ann Thorac Surg. 1991 Sep;52(3):447-53; discussion 453-4 - PubMed
  2. J Thorac Cardiovasc Surg. 1983 Sep;86(3):323-37 - PubMed
  3. Ann Thorac Surg. 2011 Nov;92(5):1639-44 - PubMed
  4. Surg Gynecol Obstet. 1960 Jul;111:71-6 - PubMed
  5. J Thorac Cardiovasc Surg. 2006 Aug;132(2):347-54 - PubMed
  6. Eur J Cardiothorac Surg. 2004 Jan;25(1):6-15 - PubMed
  7. J Thorac Cardiovasc Surg. 2010 Jan;139(1):98-102 - PubMed
  8. Interact Cardiovasc Thorac Surg. 2015 Jul;21(1):40-9; discussion 49 - PubMed
  9. Curr Opin Cardiol. 2005 Mar;20(2):115-21 - PubMed
  10. Ann Thorac Surg. 2002 Aug;74(2):438-43 - PubMed
  11. Cardiovasc Res. 2013 Jul 15;99(2):232-41 - PubMed
  12. World J Pediatr Congenit Heart Surg. 2010 Apr;1(1):132-6 - PubMed
  13. J Am Coll Cardiol. 2015 Aug 25;66(8):877-88 - PubMed
  14. Ann Thorac Surg. 2007 Feb;83(2):S746-51; discussion S785-90 - PubMed
  15. Ann Thorac Surg. 2005 Aug;80(2):748-50 - PubMed
  16. J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S22-5 - PubMed

Publication Types