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- W2322638049 abstract "To determine whether short-term mortality and morbidity is significantly increased by managing aortic problems in bicuspid aortic valve patients undergoing aortic valve replacement. We reviewed all patients undergoing bicuspid aortic valve replacement from 2003 to 2011 (n=230). The patients were separated into two groups: (1) patients undergoing aortic valve replacement (AVR) only (n=139), and (2) patients undergoing AVR and an ascending aorta replacement (AAR) (n=63) or Bentall (n=28) - for a total of 91 patients (n=91) (AVR + aorta). The same surgeon performed all operations. The average patient age for the AVR only group and the AVR + aorta group was respectively 61.7±13.6 yrs and 56.8±13.1 yrs. Preoperative left ventricular ejection fraction was inferior to 40% in 14.4% and 4.4% of AVR only and AVR + aorta groups respectively (p=0.02). Coronary artery bypass graft was performed in 26% of patients in AVR group and 20% of patients in AVR + aorta group (p=ns). Both groups were very similar in regards to post-operative complications. Mortality was very low in both groups: 0.7% in AVR only group and 0% in AVR + aorta (p=ns). Occurrence of stroke was similar in both groups (0.7% in AVR only, 1.1% in AVR + aorta; p=ns). A higher proportion of the latter group received transfusions (58% compared to 44% in AVR only group; p=0.03). Management of aortic problems at the time of aortic valve replacement when the ascending aorta is larger than 45 mm in patients with bicuspid aortic valves does not significantly increase perioperative risk." @default.
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- W2322638049 date "2012-09-01" @default.
- W2322638049 modified "2023-09-25" @default.
- W2322638049 title "402 Is the Management of Aortic Problems in Patients With Bicuspid Aortic Valve Undergoing AVR Affect Perioperative Outcome?" @default.
- W2322638049 doi "https://doi.org/10.1016/j.cjca.2012.07.378" @default.
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