Short-tearm outcomes of reconstruction of bicuspid aortic valve by autologous pericardium
Main Article Content
Abstract
The purpose of this study is to present the techniques of aortic valve reconstruction using autologous pericardium for the treatment of abnormal bicuspid aortic valve and their early outcomes. 21 patients underwent surgery (mean age 53 years old, male/female ratio was 2/1), where seven patients with true bicuspid aortic valve (Type 0) had reconstruction of two leaflets and 14 patients with bicuspid aortic valve with one raphe (Type I) had reconstruction of three leaflets. No patients had prosthetic aortic valve replacement. No death occurred within 30 days post - surgery. At the mean follow-up of 18 months, no postoperative bleeding or thromboembolic complications occurred. The maximum pressure gradient between the left ventricle and aorta was 11.9 mmHg. In conclusion, aortic valve reconstruction using autologous pericardium provides good early outcomes. Both Bi-cuspidization and Tri-cuspidization econstructions show promising results and the choice between two techniques depends on the anatomy of the aortic valve.
Article Details
Keywords
Bicuspid of aortic valve, reconstruction of aortic valve, autologous pericardium, Ozaki’s procedure.
References
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