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Long-term results after treatment of the ascending aorta for bicuspid aortic valve patients

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Abstract

Purpose

We evaluated the long-term results of aortic valve replacement for bicuspid aortic valve patients with or without surgical treatment of the ascending aorta.

Methods

A total of 145 bicuspid aortic valve patients had undergone aortic valve replacement since 1974 at our institution. No surgical treatment (Group-N; n = 115) was performed in the ascending aorta if the diameter was less than 40 mm. We wrapped an ascending aorta of 40–50 mm with an artificial graft (Group-W; n = 19), and performed replacement (Group-R; n = 11) if the ascending aorta measured more than 50 mm. Follow-up was completed for 144 patients (99.3 % of the cases).

Results

The hospital mortality rate was 1.4 %. There were no significant differences among Groups N, W and R in the freedom from valve-related death and cardiac death at 10 years after surgery. The rates of freedom from aorta-related events in the three groups at 10 years after surgery were 98.3 % (Group-N), 100 % (Group-W) and 100 % (Group-R).

Conclusions

The long-term survival was equivalent among the three groups, and the rates of freedom from aorta-related death or events were low. Our surgical protocol for the treatment of the enlarged ascending aorta associated with BAV is appropriate.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Sho Matsuyama, Takahiro Nishida, Tomoki Ushijima & Ryuji Tominaga

Authors
  1. Sho Matsuyama
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  2. Takahiro Nishida
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  3. Tomoki Ushijima
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  4. Ryuji Tominaga
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Corresponding author

Correspondence to Takahiro Nishida.

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The authors declare that they have no conflicts of interest.

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Matsuyama, S., Nishida, T., Ushijima, T. et al. Long-term results after treatment of the ascending aorta for bicuspid aortic valve patients. Surg Today 46, 729–734 (2016). https://doi.org/10.1007/s00595-015-1274-4

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  • DOI: https://doi.org/10.1007/s00595-015-1274-4

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