Why the study?
Do aortic valve reconstruction techniques provide acceptable outcomes in patients with rheumatic aortic valve disease and concomitant mitral valve disease?
Do aortic valve reconstruction techniques provide acceptable outcomes in patients with rheumatic aortic valve disease and concomitant mitral valve disease?
Aortic valve reconstruction techniques offer a feasible alternative to valve replacement in selected patients with rheumatic aortic valve disease and concomitant mitral valve disease.
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May support reconstruction in selected rheumatic multivalve cases; leaves open durability versus replacement in prospective data.
Aortic valve reconstruction is still at an early stage of development. We report techniques that can be applied in the repair of rheumatic aortic valve disease in patients with concomitant mitral valve disease. The techniques described are: (1) commissurotomy, (2) cusp free edge unfolding, (3) annuloplasty, and (4) supraaortic crest enlargement. Fifty patients operated on between January 1974 and January 1986 with a hospital mortality of 6% were followed for a mean period of 7.7 years. Reoperation due to failure of mitral surgery was required in twelve patients, tricuspid regurgitation in two, and significant aortic regurgitation in four. These techniques, although applicable to a limited number of patients, have enabled us to avoid the problems of aortic valve replacement in many patients.
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Carlos G. Durán (1988) studied this question.
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