Aortic Valvuloplasty Using Triangular Resection Technique.
- Author:
Wook Sung KIM
1
;
Cheol Hyun CHUNG
;
Hak Jae HUH
;
Man Jong BAEK
;
Seog Ki LEE
;
Yang Bin JEON
;
Soo Chel KIM
;
Sam Se OH
;
Chang Ha LEE
;
Woong Han KIM
;
Chan Young NA
;
Young Tak LEE
;
Young Kwan PARK
;
Chong Whan KIM
;
Woo Ik CHANG
;
Ji Min CHANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Korea.
- Publication Type:Original Article
- Keywords:
Aortic valve;
repair;
Surgery method
- MeSH:
Aortic Valve;
Bioprosthesis;
Echocardiography;
Echocardiography, Doppler;
Follow-Up Studies;
Heart Septal Defects, Ventricular;
Hospital Mortality;
Humans;
Male;
Mitral Valve;
Mortality;
Prolapse;
Prostheses and Implants;
Tricuspid Valve
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(2):113-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: With an increasing awareness of the limitations of both mechanical prostheses and bioprostheses, aortic valvuloplasty has gained attention as an alternative procedure for aortic valve disease. MATERIAL AND METHOD: Eight consecutive patients underwent aortic valvuloplasty caused by leaflet prolapse between June 1999 to June 2000. Mean age of the patients was 18.4+/- 12.6 year. Four paitents(50%) were male. Six patients had tricuspid valves and ventricular septal defect and two patients had bicuspid valves. The extent of aortic insufficiency was 3.5+/- 0.5 by preoperative Doppler echocardiography. The technique involved triangular resection of the free edge of the prolapsed leaflet, annular plication at the commissure, and resection of a raphe when present in bicuspid valves. RESULT: There was no in-hospital mortality or morbidity. Mean follow-up was complete at 11.9+/- 3.6months. There was no late mortality or morbidity. The amount of the severity of aortic insufficiency, as assessed by echocardiography preoperatively, postoperatively and at late follow-up was 3.5+/- 0.5, 0.6+/- 0.5 and 0.8+/- 0.6, respectively(p value = 0.01). There was one patient with grade 2/4 aortic insufficiency and in the other patients, grade 1/2 or trivial aortic insufficiency were detected with late echocardiograms. CONCLUSION: Triangular resection in the patients with aortic leaflet prolapse offers a good early clinical result, but long-term follow-up is necessary.
