Key result
Aortic valve repair for aortic insufficiency in adults demonstrated a 5- and 10-year freedom from reoperation rate of 89% and 64%, respectively, with a mean early mortality of 3.6%.
Why the study?
Does aortic valve repair provide durable outcomes compared to replacement techniques in adults with aortic insufficiency?
Population
761 adult patients with aortic insufficiency undergoing aortic valve repair.
Comparison
Aortic valve repair vs Published results for bioprosthetic valves…
Design
Review
Follow-up
Up to 10 years
Authors
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Acceptable early mortality supports selective aortic valve repair; leaves open durability versus replacement pending randomized data.
Does aortic valve repair provide durable outcomes compared to replacement techniques in adults with aortic insufficiency?
Aortic valve repair for aortic insufficiency has low early mortality but questionable long-term durability, with 10-year freedom from reoperation at 64%.
Carr et al. (2003) conducted a review in Aortic insufficiency (n=761). Aortic valve repair vs. Bioprosthetic valves, pulmonary autografts, and aortic homografts was evaluated on Perioperative morbidity, mortality, and freedom from reoperation. Aortic valve repair for aortic insufficiency in adults demonstrated a 5- and 10-year freedom from reoperation rate of 89% and 64%, respectively, with a mean early mortality of 3.6%.
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