Aortic valve repair versus mechanical valve replacement for root aneurysm: the CAVIAAR multicentric study

Lansac, Emmanuel; Centa, Isabelle Di; Danial, Pichoy; Bouchot, Olivier; Crozat, Eric Arnaud; Hacini, Rachid; Doguet, Fabien; Demaria, Roland; Verhoye, Jean Philippe; Jouan, Jérôme; Chatel, Didier; Lopez, Stéphane; Folliguet, Thierry; Leprince, Pascal; Langanay, Thierry; Latrémouille, Christian; Fayad, Georges; Fleury, Jean Philippe; Monin, Jean Luc; Mankoubi, Leila; Noghin, Miléna; Berrébi, Alain; Pousset, Sarah; Laubriet-Jazayeri, Aline; Lafourcade, Alexandre; Marcault, Estelle; Kindo, Michel; Payot, Laurent; Bergoend, Éric; Hoffart, Cecile Jourdain; Debauchez, Mathieu; Tubach, Florence

doi:10.1093/ejcts/ezac283

Cited by 14 publications

(2 citation statements)

References 23 publications

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“…The CAVIAAR prospective cohort study enrolled 130 patients who underwent aortic valve remodeling root repair with expansible aortic ring annuloplasty and 131 patients who underwent mechanical composite valve and graft replacement. 51 At 4 years, there was no statistically significant difference in the primary composite outcome of mortality, reoperation, thromboembolic or major bleeding events, endocarditis or operating site infections, pacemaker implantation, and HF between patients who underwent aortic valve repair or mechanical composite valve and graft replacement (HR, 0.66 [95% CI, 0.39–1.12)]. However, there were significantly fewer valve-related deaths (HR, 0.09 [95% CI, 0.02–0.34]) and major bleeding events (HR, 0.37 [95% CI, 0.16–0.85]) in patients who underwent aortic valve repair compared with those who underwent mechanical composite valve and graft replacement.…”

Section: Valvular Diseasesmentioning

confidence: 99%

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Martin,

Aday,

Almarzooq

et al. 2024

Circulation

476

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BACKGROUND: The American Heart Association (AHA), in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, nutrition, sleep, and obesity) and health factors (cholesterol, blood pressure, glucose control, and metabolic syndrome) that contribute to cardiovascular health. The AHA Heart Disease and Stroke Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, brain health, complications of pregnancy, kidney disease, congenital heart disease, rhythm disorders, sudden cardiac arrest, subclinical atherosclerosis, coronary heart disease, cardiomyopathy, heart failure, valvular disease, venous thromboembolism, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). METHODS: The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing. The 2024 AHA Statistical Update is the product of a full year’s worth of effort in 2023 by dedicated volunteer clinicians and scientists, committed government professionals, and AHA staff members. The AHA strives to further understand and help heal health problems inflicted by structural racism, a public health crisis that can significantly damage physical and mental health and perpetuate disparities in access to health care, education, income, housing, and several other factors vital to healthy lives. This year’s edition includes additional global data, as well as data on the monitoring and benefits of cardiovascular health in the population, with an enhanced focus on health equity across several key domains. RESULTS: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. CONCLUSIONS: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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Section: Valvular Diseasesmentioning

confidence: 99%

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Martin,

Aday,

Almarzooq

et al. 2024

Circulation

476

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“…However, most aortic valves are still replaced ( 3 ). The multicentric CAVIAAR study comparing aortic valve repair versus mechanical valve replacement for root aneurysm showed that standardized aortic valve repair with external annuloplasty significantly reduced valve-related deaths and major bleeding rates without increasing the risk of reoperation ( 4 ).…”

Section: Commentsmentioning

confidence: 99%

Annular stabilization in remodelling technique

Danial¹,

Youssefi²,

Debauchez³

et al. 2023

Ann Cardiothorac Surg

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Case 1 is a 52-year-old patient with New York Heart Association (NYHA) III dyspnea. Echocardiography demonstrated a tricuspid aortic valve with grade 4 aortic insufficiency (AI), preserved ejection fraction (50%) and a dilated left ventricle with end-diastolic and end-systolic diameters of 63 and 42 mm, respectively. Gated computed tomography (CT) revealed sinuses of Valsalva measuring 57 mm and ascending aorta 44 mm in diameter.Case 2 is a 69-year-old patient with NYHA III dyspnea. Echocardiography demonstrated a bicuspid aortic valve with grade 4 AI, preserved ejection fraction (54%) and a dilated left ventricle with end-diastolic and end-systolic diameters of 59 and 45 mm, respectively. Gated CT revealed sinuses of Valsalva measuring 52 mm and ascending aorta 47 mm in diameter. Surgical techniques PreparationAfter performing a median sternotomy and opening the pericardium, heparinization is undertaken. To maximize the excised ascending aorta length, aorta cannulation is performed high in the arch. Direct antegrade Custodial cardioplegia is used to induce diastolic arrest. OperationThe ascending aorta is opened and excised down to the sinotubular junction. To reach below the level of the

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Outcomes of aortic valve-sparing root replacement with cusp repair in connective tissue disease

Danial,

Demondion,

Debauchez

et al. 2023

Archives of Cardiovascular Diseases

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Aortic valve repair versus mechanical valve replacement for root aneurysm: the CAVIAAR multicentric study

Cited by 14 publications

References 23 publications

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Annular stabilization in remodelling technique

Outcomes of aortic valve-sparing root replacement with cusp repair in connective tissue disease

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