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Heterologous mitral stentless valve: mid term clinical results

Marcondes T Neves JúniorI; Pablo M. A PomerantzeffI; Carlos M. A BrandãoI; Max GrinbergI; Miguel Barbero-MarcialI; Noedir A. G StolfI; Geraldo VerginelliI; Adib D JateneI

DOI: 10.1590/S0102-76381996000300004


Between August 1980 and May 1995 we studied 31 patients who underwent aortic valvuloplasty for aortic insufficiency. Eighteen (58.06%) were male and 13 (42.94%) female. The age ranged from 2 to 68 years (avarage 20.9 +/- 18.3). The ethiology was congenital in 21 (67.65%), rheumatic in 6 (19.35%), degenerative in 3 (9.67%) and infective endocarditis in 1 (3.25%). The type of valvuloplasty performed were: anuloplasty with external fixation of the cusp in 10, anuloplasty with internal fixation of the cusp in 10, partial anuloplasty in 4, triangular resection of prolapsed cusp in 5 and correction with a patch of bovine pericardium in 2 patients. The most frequent associated surgery was ventriculosseptoplasty in 14. The mean time of cardiopulmonary bypass and aortic crossclamp was 96.43 and 70.53 min, respectively. We didn't have operatory death. One patient was submitted to a new valvuloplasty in the intra-operative period because of a residual insufficiency. We observed one death in the follow-up due to a cardiac insufficiency nineteen months after surgery. Twenty five (80.6%) patients are in functional class (N Y H A) in the follow-up. We concluded that patients who underwent aortic valvuloplasty for aortic insufficiency had low surgical risk and good outcome.


No período de agosto de 1980 a maio de 1995, foram estudados 31 pacientes que apresentavam insuficiência aórtica e que foram submetidos à plástica da valva aórtica (P V A). Dezoito (58,06%) pacientes eram do sexo masculino e 13 (42,94%) do sexo feminino. A média de idades foi de 20.9 +/- 18,3, com a idade variando de 2 a 68 anos. A etiologia das lesões foi congênita em 21 (67,65%) pacientes, reumática em 6 (19,35%), degenerativa em 3 (9,67%) e endocardite infecciosa em 1 (3,25%). O tipo de plástica realizada foi: plicatura junto às comissuras com fixação na parte externa da aorta em 10 pacientes, plicatura junto às comissuras com fixação interna das vávulas em 10, anuloplastia parcial em 4, plicatura valvular central em 5 e correção valvular com placa de pericárdio bovino em 2. As principais operações associadas foram: ventriculosseptoplastia em 14 e plástica de valva mitral em 7 pacientes. O tempo médio de pinçamento aórtico foi de 70,53 minutos. O tempo médio de circulação extracorpórea (CEC) foi de 96,43 minutos. Não houve mortalidade operatória. Um paciente foi submetido a nova plástica no mesmo ato operatório para a correção de insuficiência aórtica residual. Um paciente faleceu após 19 meses de insuficiência cardíaca. Vinte e cinco (80,6%) apresentam-se em classe funcional I (N Y H A) no pós-operatório tardio. Podemos concluir que os pacientes submetidos à P V A apresentaram baixo risco e boa evolução tardia.
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1. Duran C, Kumar N, Gometza B, Hobes Z A - Indications and limitations of aortic valve reconstruction. Ann Thorac Surg 1991; 52: 447-54. [MedLine]

2. Cosgrove M D, Rosenkranz E R, Hendren W G, Bartlett J C, Stewart W J - Valvuloplasty for aortic insufficiency. J Thorac Cardiovasc Surg 1991; 102:571-7.

3. Trusler G A, Moes A F, Kidd B S - Repair of ventricular septal defect with aortic insufficiency. J Thorac Cardiovasc Surg 1973; 66: 394-403. [MedLine]

4. Lillehei C W, Gott V L, DeWall R A, Varco R L - The surgical treatment of stenotic or regurgitant lesion of the mitral and aortic valves by direct vision utilizing a pump oxygenator. J Thorac Cardiovasc Surg 1958; 35: 154-91.

5. Mulder D G, Kattus A A, Longmire W P - The treatment of acquired aortic stenosis by valvuloplasty. J Thorac Cardiovasc Surg 1960; 40: 731-43. [MedLine]

6. Cabrol A, Guiraudon G, Bertrand M - Le traitement de I' insuffisance aortique par I'annuloplastie aortique. Arch Mal Coeur 1966; 9: 1305-12.

7. Duran C M G - Reconstrurive techniques for rheumatic aortic valve disease. J Cardiac Surg 1988; 3: 23-8.

8. Duran C M G, Gometza B, Kumar N, Gallo R, Bjornstad K - From aortic cusp extension to valve replacement with Stentless pericardium. Ann Thorac Surg 1995; 60: 428-32.

9. Yacoub M, Fajan A, Stassano P, Radley S R - Results of valve conserving operations for aortic regurgitation. Circulation 1993; 68 (Pt 2): II321.

10. Carpentier A - Cardiac valve surgery: the "French Correction". J Thorac Cardiovasc Surg 1983; 86:323-37. [MedLine]

11. Moidl R, Moritz A, Simon P, Kupilik N, Wolner E, Mohi W - Ecocardiografic results after repair of incompetent bicuspid aortic valves. Ann Thorac Surg 1995; 60:669-72. [MedLine]

12. Mills P, Leech G, Davies M, Leatham A - The Natural History of nonstenotic bicuspid aortic valve. Br Heart J 1978; 40: 951-7. [MedLine]

13. Roberts W C, Morrow A G, McIntosh C L, Jones M, Epstein S E - Congenitally biscupid aortic valve causing severe, pure aortic regurgitation without superimposed infective endocarditis. Am J Cardiol 1981; 47: 206-9. [MedLine]

14. Amano J, Suzuki A, Sunamori M - Results of reconstructive surgery for acquired valve disease: evaluation of mitral and aortic valvuloplasty. Thorac Cardiovasc Surgeon 1994; 42: 9-13.

15. Okita Y, Miki S, Kusuhara K et al. - Long term results of aortic valvuloplasty for aortic regurgitation associated with ventricular septal defect. J Thorac Cardiovasc Surg 1988; 96: 769-74. [MedLine]

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