PMID- 10923149
OWN - NLM
STAT- MEDLINE
DCOM- 20000825
LR  - 20161124
IS  - 0028-2162 (Print)
IS  - 0028-2162 (Linking)
VI  - 144
IP  - 29
DP  - 2000 Jul 15
TI  - [Reimplantation of aortic valve; preliminary results in 13 patients].
PG  - 1402-6
AB  - OBJECTIVE: To evaluate our initial experience with the reimplantation technique 
      of the aortic valve. DESIGN: Retrospective. METHOD: From January 1st 1998 to 
      January 31st 2000, 13 patients were operated on by the technique as described by 
      David. Mean age was 52.2 years (SD: 11). Median preoperative New York Heart 
      Association (NYHA) functional class was 2/4 and median preoperative degree of 
      aortic regurgitation was 3/4. Surgical indications were initially limited to 
      aneurysmal disease of the aortic root (n = 6) and ascending aorta (n = 4), all 
      complicated by aortic regurgitation. Later on, we also applied the technique in 
      type A aortic dissection (n = 3). The repair was evaluated peroperatively by 
      transoesophageal and postoperatively, by transthoracic echocardiography. The 
      patients were followed postoperatively in the outpatient department. RESULTS: No 
      technical problems arose that necessitated change or adjustment of the technique. 
      Mean cardiac arrest time was 184 min (SD: 40) and cardiopulmonary bypass time 254 
      min (SD: 74). The primary aetiology on histopathological examination was medial 
      necrosis in 5 patients and degenerative disease in the others. There was no early 
      nor late mortality and none of the patients was reoperated upon the aortic root. 
      Follow-up was complete at a mean of 12.3 months (SD: 8). Median aortic 
      regurgitation at follow-up was 0.5 (p = 0.0001 versus preoperative) and median 
      NYHA functional class at follow-up was 1 (p = 0.02 versus preoperative). 
      CONCLUSION: David's aortic valve reimplantation technique was carried out with a 
      low surgical risk and a low degree of residual aortic regurgitation in aneurysm 
      of the aortic root, aneurysm of the ascending aorta and type A dissection with 
      major destruction of the aortic root.
FAU - Casselman, F P
AU  - Casselman FP
AD  - Afd. Thoraxchirurgie, St. Antoniusziekenhuis, CM Nieuwegein.
FAU - Deblier, I
AU  - Deblier I
FAU - Ernst, J M
AU  - Ernst JM
FAU - Defauw, J J
AU  - Defauw JJ
FAU - Schepens, M A
AU  - Schepens MA
FAU - Morshuis, W J
AU  - Morshuis WJ
LA  - dut
PT  - Journal Article
TT  - Reimplantatie van de aortaklep: eerste ervaringen bij 13 patienten.
PL  - Netherlands
TA  - Ned Tijdschr Geneeskd
JT  - Nederlands tijdschrift voor geneeskunde
JID - 0400770
SB  - IM
MH  - Adult
MH  - Aortic Aneurysm, Thoracic/physiopathology/*surgery
MH  - Aortic Valve/diagnostic imaging/*surgery
MH  - Aortic Valve Insufficiency/diagnostic imaging/*surgery
MH  - Cardiac Surgical Procedures/adverse effects/*methods
MH  - Cardiopulmonary Bypass
MH  - Echocardiography/methods
MH  - Follow-Up Studies
MH  - Humans
MH  - Middle Aged
MH  - Recurrence
MH  - *Replantation
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Treatment Outcome
EDAT- 2000/08/03 11:00
MHDA- 2000/09/02 11:01
CRDT- 2000/08/03 11:00
PHST- 2000/08/03 11:00 [pubmed]
PHST- 2000/09/02 11:01 [medline]
PHST- 2000/08/03 11:00 [entrez]
PST - ppublish
SO  - Ned Tijdschr Geneeskd. 2000 Jul 15;144(29):1402-6.