Surgery for Aortic Valvular Disease with Congenital Bicuspid Aortic Valve.
10.4326/jjcvs.30.59
- VernacularTitle:先天性大動脈二尖弁を伴う大動脈弁疾患の外科治療
- Author:
Seiichiro Wariishi
;
Naoki Kanemitsu
;
Hironori Tenpaku
;
Manabu Okabe
;
Takasumi Nakamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(2):59-62
- CountryJapan
- Language:Japanese
-
Abstract:
An increase of aortic valvular disease associated with congenital bicuspid aortic valve is observed due to the relative decrease of rheumatic valvular diseases. A total of 24 patients with aortic valvular disease associated with congenital bicuspid aortic valve underwent surgical treatment at our institution during the period from January, 1997 to December, 1999. These 24 patients constituted 46.2% (24/52) of all cases of surgical operations for aortic valvular disease. The age of the patients ranged from 17 to 83 years (mean 62 years). They consisted of 16 men (66.7%) and 8 women. Two patients had infective endocarditis. The classification of congenital bicuspid aortic valve was right-left cusp type in 15 patients (raphe+: 11), anterior-posterior cusp type in 9 patients (raphe+: 9). We performed aortic valve replacement in 22 patients, aortic root replacement in 1 patient and aortic root remodeling in 1 patient in combination with mitral valve plasty in 3 patients, coronary artery bypass grafting in 3 patients and closure of the atrial septal defect (ASD) in 1 patient. We detected ASD in 1 patient, ventricular septal defect in 1 patient and high-posterior take-off right coronary artery in 1 patient. Patients with stenosis often have a small aortic annulus and severe post-stenotic aortic dilation. Preoperative and intraoperative evaluation is important in cases of aortic valvular disease associated with congenital bicuspid aortic valve.
