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Aortic valve replacement for aortic regurgitation caused by aortitis
S Aoyagi1, S Fukunaga, E Tayama
1Second Department of Surgery, Kurume University School of Medicine, Japan. aoyagi@med.kurume-u.ac.jp
Japanese Circulation Journal
|December 22, 1999
Summary
Surgical treatment for aortitis-related aortic regurgitation showed a low mortality rate. Perioperative steroid therapy is crucial for preventing complications in active inflammation cases.
Area of Science:
- Cardiovascular Surgery
- Rheumatology
- Vascular Surgery
Background:
- Aortitis, including Takayasu's arteritis, can lead to aortic regurgitation.
- Surgical intervention is necessary for managing severe aortic regurgitation in these patients.
Purpose of the Study:
- To evaluate the outcomes of surgical treatment for aortic regurgitation caused by aortitis.
- To identify factors influencing postoperative complications and mortality.
Main Methods:
- Retrospective analysis of 19 patients (16 Takayasu's arteritis, 3 non-Takayasu's aortitis) undergoing aortic valve or root replacement between 1984-1998.
- Assessment of surgical techniques, complications, and long-term outcomes.
Main Results:
- Overall hospital mortality was 5.3% (1/19) due to graft infection.
- Late mortality was 5.6% (1/18) from paravalvular leakage.
- Two patients with non-Takayasu's aortitis operated during active inflammation without steroids experienced prosthetic valve detachment, requiring reoperation.
Conclusions:
- Perioperative steroid therapy is vital for preventing complications in AVR during active inflammation.
- Aortic root replacement may be preferable for non-Takayasu's aortitis to reduce stress on the aortic wall and annulus.