الفهرس 
Early Outcomes of Valve Preservation In Patients With Ascending Aortic Aneurysm And Bicuspid Valve Disease
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Abstract
71
Summary
SUMMARY
This study was conducted in the cardiothoracic surgery department,
Kasr El-Aini Hospital, Cairo University in the period between June 2020
and February 2022. Forty patients with bicuspid aortic valve with
ascending aortic aneurysm were subjected to aortic valve repair surgery.
The aim of this study was to evaluate early outcomes of valve
preservation in patients with ascending aortic aneurysm and bicuspid
valve disease.
Careful analysis of failure has identified BAVs that are likely not
to be suitable substrates for repair and have contributed significantly to
the reduction of morbidity and mortality in aortic valve surgery over the
past decades.
Prospective data were collected 40 patients with bicuspid aortic
valve with ascending aortic aneurysm were treated surgically with aortic
valve repair surgery. Patients were reviewed and data analyzed regarding
preoperative demographic data (sex, age, echocardiographic findings,
associated diseases if present), intra-operative (bypass time, cross clamp
time, repair type and TEE findings as degree of regurge) and post-
operative parameters (ICU stay, duration of ventilation, inotropic support
(type and dose), any complications; e.g. 30 days hospital mortality.
Results: All our patients showed significant improvement
regarding left ventricular dimensions and contractility. 2 patients had
mild to moderate regurge and 38 patients had non significant regurge in
the six month follow up echo. one patient complicated by complete heart
block required permanent pacemaker implantation, another two patients