Evaluation of postoperative cardiac function and long-term results in patients after aortic valve replacement for aortic valve disease with increased left ventricular mass

2000 ◽  
Vol 48 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Masafumi Natsuaki ◽  
Tsuyoshi Itoh ◽  
Yukio Okazaki ◽  
Hironori Ishida ◽  
Masakatsu Hamada ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Cardiac Function ◽  
Left Ventricular Mass ◽  
Valve Replacement ◽  
Aortic Valve Disease ◽  
Left Ventricular ◽  
Valve Disease ◽  
Long Term Results

scholarly journals Long-term Fate of Dilated Ascending Aorta after Aortic Valve Replacement for Bicuspid Versus Tricuspid Aortic Valve Disease

2020 ◽  
Vol 129 ◽  
pp. 53-59
Author(s):  
Min-Seok Kim ◽  
Jung Hwan Kim ◽  
Seung Hyun Lee ◽  
Sak Lee ◽  
Young-Nam Youn ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Disease ◽  
Ascending Aorta ◽  
Valve Disease ◽  
Tricuspid Aortic Valve

Multicentre comparative analysis of long-term outcomes after aortic valve replacement in children

Heart ◽  
2021 ◽  
pp. heartjnl-2021-319597
Author(s):  
Jessica H Knight ◽  
Amber Leila Sarvestani ◽  
Chizitam Ibezim ◽  
Elizabeth Turk ◽  
Courtney E McCracken ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Disease ◽  
Valve Disease ◽  
Cardiac Transplant ◽  
Long Term Outcomes ◽  
Pulmonic Valve ◽  
Free Survival

ObjectiveThe ideal valve substitute for surgical intervention of congenital aortic valve disease in children remains unclear. Data on outcomes beyond 10–15 years after valve replacement are limited but important for evaluating substitute longevity. We aimed to describe up to 25-year death/cardiac transplant by type of valve substitute and assess the potential impact of treatment centre. Our hypothesis was that patients with pulmonic valve autograft would have better survival than mechanical prosthetic.MethodsThis is a retrospective cohort study from the Pediatric Cardiac Care Consortium, a multi-institutional US-based registry of paediatric cardiac interventions, linked with the National Death Index and United Network for Organ Sharing through 2019. Children (0–20 years old) receiving aortic valve replacement (AVR) from 1982 to 2003 were identified. Kaplan-Meier transplant-free survival was calculated, and Cox proportional hazard models estimated hazard ratios for mechanical AVR (M-AVR) versus pulmonic valve autograft.ResultsAmong 911 children, the median age at AVR was 13.4 years (IQR=8.4–16.5) and 73% were male. There were 10 cardiac transplants and 153 deaths, 5 after transplant. The 25-year transplant-free survival post AVR was 87.1% for autograft vs 76.2% for M-AVR and 72.0% for tissue (bioprosthetic or homograft). After adjustment, M-AVR remained related to increased mortality/transplant versus autograft (HR=1.9, 95% CI=1.1 to 3.4). Surprisingly, survival for patients with M-AVR, but not autograft, was lower for those treated in centres with higher in-hospital mortality.ConclusionPulmonic valve autograft provides the best long-term outcomes for children with aortic valve disease, but AVR results may depend on a centre’s experience or patient selection.

scholarly journals Left ventricular myocardial structure in aortic valve disease before, intermediate, and late after aortic valve replacement.

Circulation ◽  
1989 ◽  
Vol 79 (4) ◽  
pp. 744-755 ◽  
Author(s):  
H P Krayenbuehl ◽  
O M Hess ◽  
E S Monrad ◽  
J Schneider ◽  
G Mall ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Disease ◽  
Left Ventricular ◽  
Valve Disease ◽  
Myocardial Structure

scholarly journals Long Term Effects of Surgical And Transcatheter Aortic Valve Replacement On FFRCT In Patients With Severe Aortic Valve Stenosis.

2021 ◽  
Author(s):  
Vincent Michiels ◽  
Daniele Andreini ◽  
Edoardo Conte ◽  
Kaoru Tanaka ◽  
Dries Belsack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Left Ventricular Mass ◽  
Valve Replacement ◽  
Aortic Valve Stenosis ◽  
Left Ventricular ◽  
Ventricular Mass ◽  
Lv Mass

Abstract Background: the long-term variations of fractional flow reserve derived from coronary computed tomography (FFR CT ) after surgical (SAVR) or transcatheter (TAVR) aortic valve replacement in patients with severe aortic valve stenosis (AS) have not been investigated. Methods and Results: a total of 25 patients with isolated, severe AS underwent coronary computed tomography with 3-vessel FFR CT analysis (Heartflow Inc. - Redwood City, California, USA) and measurement of total coronary volume (V), left ventricular mass (M) and their ratio (V/M) before and 6 months after SAVR or TAVR. A significant increase in V/M due to a decrease in left ventricular mass 6 months after intervention was observed, whereas total coronary volume did not change (coronary volume pre: 2924,5 ± 867,9 mm 3 , coronary volume post: 2844,2 ± 792,8 mm 3 , P =0.158; LV mass pre: 151.7 ± 40.7 g, LV mass post: 127.3 ± 34.7 g, P <0.001; V/M pre: 19.5 ± 4.1 mm 3 /g, V/M post: 22.7 ± 4.28 mm 3 /g, P =0.002). FFR CT (expressed as area under the virtual pullback curve) remained constant. Conclusion: this proof-of-concept study showed that FFR CT was not subject to the confounding effect of left ventricular mass regression after SAVR or TAVR. Despite significant left ventricular remodeling at 6 months after AS treatment, FFR CT values remained constant. This means FFR CT can probably be used as a reliable test in AS patients but further studies are needed comparing the performance of the different invasive and non-invasive coronary physiological indices in this patient cohort.

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