Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
Cardiovascular Surgery
Aortic Valve Reconstruction Using Autologous Pericardium for Aortic Stenosis
Shigeyuki OzakiIsamu KawaseHiromasa YamashitaShin UchidaMikio TakatohSo HagiwaraNagaki Kiyohara
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Volume 79 (2015) Issue 7 Pages 1504-1510

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Abstract

Background:To determine the feasibility of original aortic valve reconstruction (AVRec) for patients with aortic stenosis (AS), 416 consecutive cases were reviewed.Methods and Results:AVRecs for AS were performed for 416 patients from April 2007 through April 2013. All 416 patients were retrospectively reviewed. One hundred and fourteen patients had bicuspid valves and 16 had unicuspid valves. There were 182 men and 234 women. Mean age was 71.2±12.0 years old. On preoperative echocardiography, peak pressure gradient averaged 79.0±33.6 mmHg. Surgical annular diameter was 20.1±2.8 mm. The procedure is based on independent tricuspid replacement by autologous pericardium using original sizing apparatus and template. There was no conversion to prosthetic valve replacement. There were 8 in-hospital mortalities due to non-cardiac cause. On postoperative echocardiography, peak pressure gradient averaged 21.2±10.7 mmHg 1 week after surgery and 14.3±5.0 mmHg 5.5 years after surgery. Four reoperations were done for infective endocarditis. The other 412 patients had less than mild regurgitation. No thrombo-embolic events were recorded. The mean follow-up period was 25.2±17.5 months. Freedom from reoperation was 96.7% with 73-month follow-up.Conclusions:Medium-term results were excellent. Original AVRec was feasible for the patients with AS. Long-term data will be presented in the future. (Circ J 2015; 79: 1504–1510)

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© 2015 THE JAPANESE CIRCULATION SOCIETY
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