Mid- to long-term aortic valve-related outcomes after conventional repair for patients with interrupted aortic arch or coarctation of the aorta, combined with ventricular septal defect: the impact of bicuspid aortic valve

Sugimoto, Ai; Ota, Nakao; Miyakoshi, Chisato; Murata, Masaru; Ide, Yuya; Tachi, Maiko; Itô, Haruo; Ogawa, Hideoki; Sakamoto, Kisaburo

doi:10.1093/ejcts/ezu078

Cited by 23 publications

(31 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In particular, in neonates with an aortic root z-score less than 22.5 the probability of score is 25 to 26. 11,19,20 Contrary to these studies, our study found that the aortic root size not the aortic valve annulus size increased the odds of reoperation.…”

Section: Discussioncontrasting

confidence: 99%

“…From this small study, it was recommended, that a LVOT bypass procedure should be considered if the aortic annulus is less than the patient's weight + 1.0 mm. Other studies based on surgeon and/or institutional preference have published that a LVOT bypass procedure such as Yasui should be considered if the absolute aortic valve annulus is 3–4 mm or less or the aortic valve annulus z ‐score is −5 to −6 . Contrary to these studies, our study found that the aortic root size not the aortic valve annulus size increased the odds of reoperation.…”

Section: Discussioncontrasting

confidence: 95%

See 1 more Smart Citation

Preoperative echocardiographic measures in interrupted aortic arch: Which ones best predict surgical approach and outcome?

Abarbanell

Border

Schlosser

et al. 2018

Congenital Heart Disease

View full text Add to dashboard Cite

Neonates with IAA and an aortic root z-score less than -2.5 have lower odds of subsequent reoperations with a Yasui operation compared to a primary repair over the follow up period. These findings suggest a Yasui operation should be considered if the preoperative aortic root z-score is less than -2.5. Careful evaluation of these morphologic predictors on preoperative echocardiograms can be helpful in surgical planning in neonates with IAA.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 95%

Preoperative echocardiographic measures in interrupted aortic arch: Which ones best predict surgical approach and outcome?

Abarbanell

Border

Schlosser

et al. 2018

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

“…The impact of bicuspid aortic valve and severe aortic valve stenosis in patients with obstructive lesions of the aortic arch on medium and long-term outcome was recently described by Sugimoto et al ( 15 ), with bicuspid aortic valve representing a risk factor for later regurgitation or stenosis.…”

Section: Discussionmentioning

confidence: 91%

Atresia of the Aortic Arch in 4-Year-Old Child: A Clinical Case Study

et al. 2015

View full text Add to dashboard Cite

Atresia of the aortic arch is a rare congenital heart defect with a high mortality when associated with other intracardiac defects. Cardiac magnetic resonance (CMR) provides the exact anatomy of the aortic arch and collateral circulation and is useful to diagnose-associated aortic arch anomalies. This report describes the case of a 4-year-old child with atresia of the aortic arch, referred to our institution with the diagnosis of aortic coarctation and bicuspid aortic valve. On clinical exam, the femoral pulses were not palpable and there was a significant differential blood pressure between the upper and lower limbs. The echocardiography showed a severely stenotic bicuspid aortic valve but was limited for the exact description of the aortic arch. CMR showed absence of lumen continuity between the ascending and descending aorta distal to the left subclavian artery, extending over 5 mm, with the presence of a bend in the arch and diverticulum on either side of the zone of discontinuity, suggesting the diagnosis atresia of the aortic arch rather than coarctation or interruption. The patient benefited from a successful surgical commissurotomy of the aortic valve and reconstruction of the aortic arch with a homograft. The post-operative CMR confirmed the good surgical result. This case emphasizes the utility of CMR to provide good anatomical information to establish the exact diagnosis and the operative strategy.

show abstract

“…[ 11 ] However, patients with bicuspid aortic valve and coexisting congenital heart diseases, such as an interrupted aortic arch, coarctation of the aorta, or ventricular septal defect may be more susceptible to complications than in the general population. [ 12 13 14 ] Bicuspid aortic valve morphology is a common risk factor for valve-related complications, for example, dilation of the aorta, which may be present at birth and could progress over time irrespective of the functional state of the valve. [ 5 15 16 17 18 19 ] Furthermore, bicuspid aortic valve has been identified as the root cause of aortic stenosis in 70%–85% of pediatric cases and is associated with a higher risk of infective endocarditis and acute thoracic aortic emergencies, such as aneurysm and dissection and valve-related re-intervention.…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 15 16 17 18 19 ] Furthermore, bicuspid aortic valve has been identified as the root cause of aortic stenosis in 70%–85% of pediatric cases and is associated with a higher risk of infective endocarditis and acute thoracic aortic emergencies, such as aneurysm and dissection and valve-related re-intervention. [ 2 14 20 ] Despite advances in disease management, children with congenital heart disease who survive into adulthood are at increased risk of sudden death, with a relatively high percentage of these patients having bicuspid aortic valve. [ 21 ]…”

Section: Introductionmentioning

confidence: 99%

Population-based treated prevalence, risk factors, and outcomes of bicuspid aortic valve in a pediatric Medicaid cohort

2018

View full text Add to dashboard Cite

Background:We investigated the treated prevalence of bicuspid aortic valve in a pediatric population with congenital heart disease and its incident complications.Materials and Methods:A 15-year retrospective data set was analyzed. Selection criteria included age ≤17 years, enrollees in the South Carolina State Medicaid program and diagnosed as having bicuspid aortic valve on one or more service visits.Results:The 15-year-treated prevalence of predominantly isolated bicuspid aortic valve was 2% (20/1000) of pediatric congenital heart disease cases, with a non-African American: African-American ratio of 3.5:1, and a male:female ratio of 1.6:1. Aortic stenosis (28.0%), ventricular septal defect (20.6%), and coarctation of the aorta (20.6%) were the most prevalent coexisting congenital heart lesions. Of the 378 bicuspid aortic valve cases examined, 10.3% received aortic valve repair/replacement, which was significantly more likely to be performed in children with diagnosed aortic stenosis (adjusted odds ratio = 12.90; 95% confidence interval = 5.66–29.44). Cohort outcomes over the study period indicated that 9.5% had diagnosed heart failure, but <1% had diagnosed supraventricular tachycardia, infective endocarditis, aneurysm, dissection, or death.Conclusions:The majority of isolated bicuspid aortic valve cases without aortic stenosis did not require surgical intervention. Outcomes for cases requiring repair/replacement were relatively benign.

show abstract

Mid- to long-term aortic valve-related outcomes after conventional repair for patients with interrupted aortic arch or coarctation of the aorta, combined with ventricular septal defect: the impact of bicuspid aortic valve

Abstract: The long-term outcomes after conventional repair under our criteria were acceptable. BAV was a significant risk factor for valve-related reinterventions after conventional repair for IAA/CoA with VSD.

Cited by 23 publications

References 23 publications

Preoperative echocardiographic measures in interrupted aortic arch: Which ones best predict surgical approach and outcome?

Preoperative echocardiographic measures in interrupted aortic arch: Which ones best predict surgical approach and outcome?

Atresia of the Aortic Arch in 4-Year-Old Child: A Clinical Case Study

Population-based treated prevalence, risk factors, and outcomes of bicuspid aortic valve in a pediatric Medicaid cohort

Contact Info

Product

Resources

About