| dc.creator | Zalaquett S,Ricardo | |
| dc.creator | Camplá C,Cristóbal | |
| dc.creator | Scheu G,Maximiliano | |
| dc.creator | Córdova A,Samuel | |
| dc.creator | Becker R,Pedro | |
| dc.creator | Morán V,Sergio | |
| dc.creator | Irarrázaval Ll,Manuel J | |
| dc.creator | Baeza P,Cristian | |
| dc.creator | Arretz V,Claudio | |
| dc.creator | Braun J,Sandra | |
| dc.creator | Chamorro S,Gastón | |
| dc.creator | Godoy J,Iván | |
| dc.creator | Yáñez D,Fernando | |
| dc.date | 2005-03-01 | |
| dc.date.accessioned | 2020-02-17T15:35:13Z | |
| dc.date.available | 2020-02-17T15:35:13Z | |
| dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000300002 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/131771 | |
| dc.description | Background: Surgical valve repair is a good alternative for correction of incompetent bicuspid aortic valve. Aim: To report the early and late surgical, clinical and ecochardiographic results of surgical repair of incompetent bicuspid aortic valves. Patients and methods: Retrospective review of medical records of 18 patients aged 19 to 61 years, with incompetent bicuspid aortic valve in whom a valve repair was performed. Four patients had infectious endocarditis and 17 were in functional class I or II. Follow up ranged from 3 to 113 months after surgery. Results: A triangular resection of the prolapsing larger cusp, which included the middle raphe, was performed in 17 cases; in 13 of these, a complementary subcommisural annuloplasty was performed. In the remaining case, with a perforation of the non-coronary cusp, a pericardial patch was implanted; this procedure was also performed in 2 other cases. In 3 cases large vegetations were removed. Postoperative transesophageal echocardiography showed no regurgitation in 11 patients (62%) and mild regurgitation in 7 (38%). There was no operative morbidity or mortality. There were no deaths during the follow-up period. In 3 patients (17%) the aortic valve was replaced with a mechanical prosthesis, 8 to 108 months after the first operation. Reoperation was not needed in 93%±6,4% at 1 year and 85%±9,5% at 5 years, these patients were all in functional class I at the end of the follow-up period. 60% had no aortic regurgitation, 20% had mild and 20% moderate aortic regurgitation on echocardiographic examination. A significant reduction of the diastolic diameter of the left ventricle was observed, but there were no significant changes in systolic diameter or shortening fraction. Conclusions: Surgical repair of incompetent bicuspid aortic valves has low operative morbidity and mortality and has a low risk of reoperation (Rev Méd Chile 2005; 133: 279-86) | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.relation | 10.4067/S0034-98872005000300002 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Revista médica de Chile v.133 n.3 2005 | |
| dc.subject | Aortic valve | |
| dc.subject | Cardiovascular surgical procedures | |
| dc.subject | Heart valve prosthesis implantation | |
| dc.title | Ciruguía reparadora de la válvula aórtica bicúspide insuficiente | |
