Mid-Term Outcomes of Concomitant Aortic Root Surgery and Mitral Valve Repair: Is it Save and Reproducible technique?

MP031 

Abstract Submission 

Anastasiia Karadzha (1), Alexander Bogachev-Prokophiev (1), Ravil Sharifulin (1), Alexander Chernyavsky (1)

(1) E. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation

Anastasiia Karadzha    -  Contact Me
E. Meshalkin National Medical Research Center

Alexander Bogachev-Prokophiev    -  Contact Me
E. Meshalkin National Medical Research Center

Ravil Sharifulin    -  Contact Me
E. Meshalkin National Medical Research Center

Alexander Chernyavsky    -  Contact Me
E. Meshalkin National Medical Research Center

Anastasiia Karadzha    -  Contact Me
Meshalkin National Medical Research Center

Objective: The aim of the study was to assess outcomes of combined aortic root replacement and mitral valve surgery.
Methods: From 2005 to 2019, 36 patients (age 53.6 ± 12.7 years) underwent aortic root surgery (David procedure, n=14 or Bentall procedure, n=22) concomitant with mitral valve repair (isolated ring implantation, n=29 or complex valve repair, n=7). Preoperatively, in 4 patients were identified chronic aortic dissection and in 3 cases were pulmonary autograft failure after previous Ross procedure. All patients had moderate or severe mitral regurgitation in 21 (58.3%) and 15 (41.7%) patients, respectively. The aortic valve was bicuspid in 10 (27.8%) of patients.
Results: Cardiopulmonary bypass and cross-clamping periods were 224.5±54.0 and 177.2 ±55.3 minutes, respectively. There were 2 (5.6%) cases of in hospital deaths (myocardial infarction – 1; bleeding – 1). No perioperative strokes were registered. At discharge, all patients had trivial or mild mitral insufficiency. Among aortic root sparing patients no one had ≥2 aortic insufficiency, 9 patient had trivial or mild and 5 had zero grade. The mean follow-up was 5.1 ± 4.3 years. One patient died, however no cardiac-related deaths occurred and all patients were free from aortic root or mitral valve re-intervention.
Conclusions: Concomitant aortic root surgery and mitral valve repair is associated with acceptable in-hospital mortality and high freedom from death and valves reinterventions.

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