Unicuspid Aortic Valve in Patients Undergoing the Ross Procedure.
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209775%3A_____%2F22%3AN0000014" target="_blank" >RIV/00209775:_____/22:N0000014 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/23:00130667 RIV/00216208:11150/23:10443270 RIV/00179906:_____/23:10443270
Result on the web
<a href="https://www.annalsthoracicsurgery.org/article/S0003-4975(22)00512-4/fulltext" target="_blank" >https://www.annalsthoracicsurgery.org/article/S0003-4975(22)00512-4/fulltext</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.athoracsur.2022.03.061" target="_blank" >10.1016/j.athoracsur.2022.03.061</a>
Alternative languages
Result language
angličtina
Original language name
Unicuspid Aortic Valve in Patients Undergoing the Ross Procedure.
Original language description
Background: The prevalence and outcomes of the unicuspid aortic valve (UAV) in patients undergoing the Ross procedure have been strongly underreported in the current literature. We sought to evaluate this in comparison with bicuspid (BAV) and tricuspid valve (TAV) in our Ross cohort. Methods: This was a retrospective observational study of patients undergoing the Ross procedure at 2 dedicated centers between 2009 and 2020. Primary end points were the risks of midterm autograft reoperation and the onset of at least moderate aortic regurgitation during follow-up. The secondary end point was to compare the perioperative outcomes between the groups. Results: Included in the analysis were 286 patients, of those 39% with UAV, 52% with BAV, and 9% with TAV. UAV patients were operated on at the youngest age (P < .001) and more often for a combined hemodynamic aortic valve pathology (P = .02). They had the largest aortic root dimensions: annulus (P = .01), Valsalva sinuses (P = .11), sinotubular junction (P = .001), and ascending aorta (P < .0001). The risks of reoperation (P = .86) and the onset of aortic regurgitation (P = .75) were comparable among the groups over the follow-up of 4.1 years. There was no difference in perioperative outcomes. Conclusions: UAV is a separate unit characterized by a distinct hemodynamic pathology and generated aortopathy. It is not associated with a higher risk of reoperation or new onset of aortic regurgitation after the Ross procedure in the midterm postoperatively. At the current state, UAV remains acceptable for the Ross procedure.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Annals of Thoracic Surgery
ISSN
0003-4975
e-ISSN
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Volume of the periodical
115
Issue of the periodical within the volume
3
Country of publishing house
US - UNITED STATES
Number of pages
6
Pages from-to
626-631
UT code for WoS article
000944472800001
EID of the result in the Scopus database
2-s2.0-85130913424