Akademik Veri Yönetim Sistemi
Cor Europaeum - European Journal of Cardiac Interventions, cilt.5, sa.4, ss.143-145, 1996 (Scopus)
The successful application of repair techniques in the treatment of atrioventricular valve disease has led to a resurgence of interest in aortic valvuloplasty. We have reported on our experiences with reparative techniques for aortic valve disorders. From February 1985 to February 1996, 120 patients (66 females, 54 males, mean age 34.9) underwent surgery for aortic valve repair in an attempt to preserve the aortic valve. The aetiological factors were recognized as rheumatic fever in 86 patients (72%), congenital in 24 patients (20%) and degenerative in ten patients (8%). Aortic valvuloplasty techniques consisted of a release of commissures (in 37 patients), a thinning of the valve leaflets (in 13 patients), a resuspention of leaflets (in 24 patients) and an augmentation of retracted or perforated leaflets with autologous pericardium (in nine patients). Simultaneous mitral valve surgery was performed in 83 patients (69%) of the cases with mitral repair in 46 patients (55%). Hospital mortality was 3.33% in four patients. Reoperation rate for aortic insufficiency was 5.83% in seven patients. A complete follow-up was possible in 88.3% patients with a mean observation time of 45.65 months (457 patient years). These early and intermediate-term experiences indicate that the aortic valvuloplasty procedure is an effective surgical approach that minimizes recurrent aortic valve stenosis or regurgitation that would otherwise need to be replaced.