Adult: AortaSelective sinus replacement for aortic root repair in bicuspid aortopathy
Graphical abstract
Section snippets
Patients and Methods
Between March 2005 and March 2020, a total of 114 patients with bicuspid aortopathy underwent valve-sparing root repair (VSRR) using SSR exclusively. The average patient age was 50 years (range, 25-75 years). The group included 109 patients with chronic aneurysm and 5 patients with aortic dissection (4 acute), having tubular or root phenotype of aortopathy in 90 and 24 patients, respectively. Symmetrical BAV (symmetrical commissural orientation) was found in 21 patients. None/trivial, mild,
Surgical Results
The average size of the AR was 53 mm and did not differ (53.8 ± 4.9 vs 53.2 ± 6.5, P = .646) among patients with isolated root (31) and combined root and cusp repair (83) and between 93 asymmetrical-BAVs versus 21 symmetrical-BAVs (53.3 ± 5.8 vs 53.7 ± 7.3, P = .366). The same applies to the annulus diameter, which was 30.0 ± 3.0 for the entire cohort and did not differ among patients with root versus root and cusp repair and asymmetrical versus symmetrical BAVs However, in 59 patients with 1
Discussion
VSRR in bicuspid aortopathy is not a frequent procedure, even in high-volume aortic centers. Here, we report on 114 cases, which are less than a fifth of all VSRRs and about a third of all reconstructive BAV repairs performed due to AI during the 12-year study time (290). With this study, which belongs to the largest one-center experiences published to date, we were able to demonstrate that, with the exception of root-related AV insufficiency in aortic dissection, a relevant AI in a bicuspid
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