Why the study?
What are the predictors of late aortic dissection or aneurysm formation after routine aortic valve replacement?
Population
163 patients who underwent routine aortic valve replacement, comprising 33 patients who developed type I…
Comparison
Assessment of clinical and morphological… vs Controls without late aortic dissection or…
Design
Case-control
Follow-up
49+/-55 months, 104+/-64 months, ≥6 years
Authors
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May support enhanced surveillance after AVR in select patients; leaves open whether prophylactic aortic repair alters risk in observational data.
What are the predictors of late aortic dissection or aneurysm formation after routine aortic valve replacement?
Aortic regurgitation combined with fragile and thinned aortic walls at the time of AVR predicts a high risk of late aortic dissection, suggesting isolated valve replacement may be incomplete treatment for these patients.
Kodolitsch et al. (1999) studied this question.
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