Surgical treatment for patients with aortic valve disease and ascending aorta dilatation
10.7619/jcmp.201711020
- VernacularTitle:主动脉瓣病变合并升主动脉扩张的外科治疗
- Author:
Dafu SHEN
1
;
Ritai HUANG
;
Zhenlei HU
;
Feng LIAN
;
Genxing XU
;
Song XUE
Author Information
1. 上海交通大学医学院附属仁济医院 心血管外科
- Keywords:
ascending aorta dilatation;
aortic valve disease;
surgical treatment
- From:
Journal of Clinical Medicine in Practice
2017;21(11):65-68
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical treatment for patients with aortic valve disease and ascending aorta dilatation.Methods The patients were divided into two groups according to the condition of aortic valve leaflet and surgical treatment.The changes of ascending aorta after different treatment were measured by echocardiography.Results Among tricuspid aortic valve patients,diameter of ascending aorta in patients with simple aortic valve replacement decreased by 0.471 mm averagely per year,while diameter of ascending aorta in patients with the concomitant ascending aorta angioplasty decreased 0.27 mm averagely per year.Among bicuspid aortic valve patients,diameter of ascending aorta in patients with simple aortic valve replacement increased by 2.28 mm averagely per year,while diameter of ascending aorta in patients with the concomitant ascending aorta angioplasty increased 2.923 mm averagely per year.Conclusion The patients with bicuspid aortic valve are more likely to develop ascending aorta dilatation after the operation of the aortic valve.Patients with bicuspid aortic valve should undergo ascending aorta replacement when aorta diameters are more than 40 mm.Patients with tricuspid aortic valve undergoing surgery must be very cautious.
