Assessment and Repair of Aortic Valve Cusp Prolapse: Implications ...

More documents

Recommendations

Info

Technical Adjuncts • Two cusp prolapse – Non-prolapsing cusp serves as reference • Three cusp prolapse – Rare – Seen with AV sparing surgery – Restore coaptation height to mid-level of sinuses of Valsalva
Clinical Characteristics Characteristic Isolated (n=50) Associated (n=61) p-value Age 57 16 56 17 0.68 Male 46 (92%) 57 (92%) 0.97 NYHA Class I II III 13 (26%) 27 (54%) 10 (20%) 31 (51%) 26 (43%) 4 (7%) 0.01 LV Ejection Fraction < 50% 12 (24%) 4 (7%) 0.008 Previous Cardiac Surgery 6 (12%) 8 (13%) 0.86 LVEDD (mm) 62 9 59 8 0.05 Aortic Size (mm) - 51 7 - Concomitant Procedures CABG Mitral valve repair/replacement Other 23 (46%) 11 (22%) 12 (24%) 6 (12%) 15 (25%) 8 (13%) 6 (10%) 2 (3%) 0.02
Page 1 and 2: Assessment and Repair of Aortic Val
Page 3 and 4: Aortic Cusp Prolapse • Cusp prola
Page 5 and 6: Aims • To examine clinical, echoc
Page 7 and 8: Aortic Cusp Prolapse - Diagnosis
Page 9 and 10: Pathophysiology of Cusp Prolapse
Page 11: Repair Techniques Free Margin Resus
Page 15 and 16: Echocardiographic Features Characte
Page 17 and 18: Early Outomes • No hospital morta
Page 19 and 20: % Freedom from Cardiac Death 100 80
Page 21 and 22: % Freedom from Recurrent AI > 2+ 10
Page 23 and 24: Subgroup Analysis • Number of cus
Page 25: Implications for AV Sparing Surgery
Page 28 and 29: Discussion Slides
Page 30 and 31: Predictors of Recurrent AI • Rest
Page 32: STJ - Sino-tubular Junction; SCA -

Assessment and Repair of Aortic Valve Cusp Prolapse: Implications ...

Create successful ePaper yourself

Delete template?

Save as template?