MP31. Mid-Term Outcomes of Concomitant Aortic Root Surgery and Mitral Valve Repair: Is it Save and Reproducible technique?
Presented During: Moderated E-Posters
Mayo Clinic (Rochester, MN)
Rochester, MN
United States - Contact Me
2023-current time Research Fellow at cardiovascular surgery department at the Mayo Clinic (Rochester, MN, USA)
2021-2023 Fellow of the heart valve surgery department of the E. Meshalkin State Research Institute Blood Circulation Pathology (Novosibirsk, Russian Federation)
2019-2021 Cardio-vascular surgery residency E. Meshalkin State Research Institute Blood Circulation Pathology (Novosibirsk, Russian Federation)
2013-2019 Odessa National Medical University (Odessa, Ukraine)
Thursday, May 4, 2023: 6:30 PM - Saturday, May 6, 2023: 2:29 AM
New York Hilton Midtown
Room: Grand Ballroom Foyer
Description
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.
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.