@article{ACS16953,
author = {Josephina Haunschild and Zara Dietze and Antonia van Kampen and Khadzhimurad Magomedov and Martin Misfeld and Sergey Leontyev and Michael A. Borger and Christian D. Etz},
title = {Aortic root replacement in bicuspid versus tricuspid aortic valve patients},
journal = {Annals of Cardiothoracic Surgery},
volume = {11},
number = {4},
year = {2022},
keywords = {},
abstract = {Background: Concomitant replacement of the aortic root and aortic valve is a widely used treatment strategy in elective patients with aortic valve stenosis and root aneurysm. It is also a strategy frequently employed in patients with acute aortic dissection type A (AADA), involving the aortic root. Although more patients have undergone valve sparing procedures over the past decades, the classic ‘modified Bentall technique’ remains a valid option, particularly for patients with a bicuspid aortic valve (BAV). We aimed to compare the results of elective and emergency modified Bentall procedures in patients with bicuspid and tricuspid aortic valves (TAVs).
Methods: We retrospectively reviewed our database for patients undergoing either elective or emergency modified Bentall procedures between 2000 and 2018 and identified 827 elective cases (44% BAV) and 258 emergency cases (15% BAV). Analysis of intra- and postoperative outcomes and early mortality was performed. Due to inequality of the groups, a matching analysis was performed.
Results: We found BAV patients to be significantly younger (elective: 58±18 vs. 65±14, P},
issn = {2304-1021}, url = {https://www.annalscts.com/article/view/16953}
}