Key result
Aortic valve and root replacement surgeries resulted in 100% survival among four patients with aortic incompetence secondary to rheumatoid arthritis.
Aortic surgery, including bioprosthetic valve or homograft root replacement, can be successfully performed in patients with aortic regurgitation secondary to rheumatoid arthritis.
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Supports feasibility of aortic surgery in RA-associated regurgitation; hypothesis-generating and should not change practice.
Four cases of patients with aortic incompetence secondary to rheumatoid arthritis are presented. All survived aortic surgery (two having bioprosthetic aortic valve replacement and two a homograft aortic root replacement). A review of the pathophysiology and pathology of this rare cause of aortic regurgitation is presented. A rationale for the choice of aortic valve prosthesis is discussed.
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Adrian Levine (1999) studied this question. Aortic valve and root replacement surgeries resulted in 100% survival among four patients with aortic incompetence secondary to rheumatoid arthritis.
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