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July 4, 2006CirculationOpen Access

Repair of Bicuspid Aortic Valves in Patients With Aortic Regurgitation

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Why the study?

Does a standardized surgical repair technique addressing both the valve and aortic root improve outcomes in patients with bicuspid aortic valve regurgitation?

Population

68 patients with bicuspid aortic valve regurgitation

Design

Case_series

Follow-up

mean 34 months

Authors

GKGébrine El KhouryCardiac SurgeryJVJean‐Louis VanoverscheldeCardiac ImagingDGDavid GlineurCardiac Surgery

Discussion

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Implication

May support standardized bicuspid repair in selected cases; leaves open durability and comparative efficacy questions.

Structured PICO

Does a standardized surgical repair technique addressing both the valve and aortic root improve outcomes in patients with bicuspid aortic valve regurgitation?

P
Population
68 patients with bicuspid aortic valve regurgitation (30 with isolated aortic regurgitation, 38 with associated ascending aortic aneurysm)
I
Intervention
Standardized and integrated surgical technique (resection of median raphe or leaflet plication, subcommissural annuloplasty, reinforcement of leaflet free edge, and sinotubular junction plication; plus reimplantation or remodeling of the aortic root for patients with proximal aortic dilatation)
O
Outcome
Postoperative aortic regurgitation grade, re-operation rate, hospital mortality, and NYHA classhard clinical

A standardized surgical approach addressing both the valve and aortic root in bicuspid aortic valve regurgitation provides excellent mid-term clinical and echocardiographic outcomes.

Cite This Study

Khoury et al. (2006) studied this question.

synapsesocial.com/papers/6a70aab484cc45bb7bdfce53https://doi.org/10.1161/circulationaha.105.001594
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intermediate-term durability of bicuspid aortic valve repair for prolapsing leaflet11999 · 172 citations
  2. 2Valve repair for aortic insufficiency: surgical classification and techniques1997 · 113 citations
  3. 3Clinical and Pathophysiological Implications of a Bicuspid Aortic Valve2002 · 803 citations