Aortic valve repair in adult patients with aortic regurgitation: the construction of a technics system and a short and mid-term result
10.3760/cma.j.cn112434-20200623-00303
- VernacularTitle:成人主动脉瓣关闭不全修复技术体系建立及中短期随访结果
- Author:
Yixin JIA
1
;
Xu MENG
;
Yuqing JIAO
;
Yan LI
;
Shengyu WANG
;
Jie HAN
;
Zonghao CHEN
Author Information
1. 首都医科大学附属北京安贞医院心外科 100029
- Keywords:
Aortic regurgitation;
Repair;
Routine system
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(9):546-549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the construction of a technics system of aortic valve repair in adult patients with aortic regurgitation(AR).Methods:From March 2013 to May 2020, aortic valve repair was performed in 79 patients. In which 43 cases underwent simple technics such as subcommissural annuloplasty, leaflet plication etc. Cases done before May, 2018 were defined as A group, yet the other 36 cases underwent a routine repair technics system including annuloplasty, sinusplasty, cuspidplasty and sinotubularplasty after then as B group. The general data and the operation procedure, also the follow-up were analyzed.Results:In group A, there were 2 cases with simple aortic valve repair and 41 cases with other intracardiac operations. In group B, 23 patients had aortic valve repair alone and 13 patients had other intracardiac operations. Group A mostly adopts the technologies of subjunctional involution and ridge suspension. In group B, flap ring molding, flap leaf molding, sinus tube joint molding and other technologies were used. Postoperative reflux was reduced to moderate or mild in most patients in group A. In group B, postoperative reflux was reduced to mild in most patients. There were 7 cases of severe reflux in group A, and 2 cases of severe reflux were worse after repair than before surgery. In group B, 8 patients had no effective repair, and 3 patients continued to have satisfactory repair after the second turnaround. Aortic regurgitation at 1 year(or the last echocardiographic follow-up) after surgery: 15 patients in group A were mild, 17 were moderate, and 4 were severe; In group B, 2 patients underwent revalve replacement within 1 year, and the remaining 29 patients were moderate and mild, 20 cases were moderate, 7 cases were moderate, and 2 cases were severe.Conclusion:In some adult moderate and severe AR cases, a routine combined repair system can be applied to increase success rate of repair, and shows a good short and mid-term result.
