Mid-term clinical outcome analysis of aortic valve repair for rheumatic aortic valve disease
10.3760/cma.j.cn112434-20210330-00118
- VernacularTitle:主动脉瓣修复术治疗风湿性主动脉瓣病变的术后中期疗效评估
- Author:
Yan LI
1
;
Jintao FU
;
Yuqing JIAO
;
Yixin JIA
;
Chunlei XU
;
Hong CHEN
;
Qiuming HU
;
Zonghao CHEN
;
Wei HAN
;
Xu MENG
Author Information
1. 首都医科大学附属北京安贞医院心脏外科中心 100029
- Keywords:
Rheumatic heart disease;
Aortic valve repair;
Outcome anaylsis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(8):467-471
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the mid-term outcomes of patients with rheumatic heart disease who underwent aortic valve repair surgery in a prospective cohort.Methods:From January 2016 to December 2020, a total of 54 patients with rheumatic heart disease underwent aortic valve repair surgery in Beijing Anzhen Hospital, with an average age of (50.61±13.29) years, including 29 females (53.7%). There were 31 patients (57.4%) had pure aortic insufficiency, 2 patients (3.7%) had pure aortic stenosis and 21 patients (38.9%) had mixed lesion. During the same period, 43 patients (80.0%) underwent mitral valve surgery, 36 patients (66.7%) underwent tricuspid valve surgery, and 20 patients (37.0%) underwent atrial fibrillation radiofrequency ablation.The follow-up period was from 1 month to 61 months (median follow-up was 25 months). Paired rank-sum test was used to compare the differences in continuous variables among subjects, and Kaplan- Meier method was used to analyze the clinical outcomes during the follow-up period. Results:Proportion of moderate and severe aortic regurgitation Preoperatively was higher than that of discharge data, aortic valve orifice maximum velocity and left ventricular end-diastolic diameter were significantly lower than discharge data (all P<0.05). The 5-year survival rate was (96.1±2.7)% (2 patients died). The 5-year freedom from reoperation after aortic valve repair was (89.5±4.5)%(5 patients underwent redo surgery). The 5-year freedom from valvular-related complications was (91.3±4.2)%(3 patients suffered from complications). Conclusion:Aortic valve repair surgery for rheumatic aortic valve disease is feasible and has excellent early and mid-term results, it can be a reliable treatment option.
