فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Bicuspid aortic valve, the most common congenital heart anomaly, is often associated with aortic pathologies aortic pathologies. Various surgical treatment alternatives have been reported for bicuspid aortic valve associated with ascending aortic aneurysms. In this study, we evaluate whether aortic valve repair is an effective alternative to replacement in the patients with bicuspid aortic valve.   Methods: Patients, operated for aortic aneurysm and aortic valve insufficiency, between January 2015 and May 2022 were retrospectively analyzed. Patients were divided in two groups according to surgical procedures of the aortic valve. Patients, received aortic valve repair, constituted Group 1 and patients who had undergone aortic valve replacement were in Group 2. Preoperative, intraoperative and postoperative follow-up parameters were evaluated in the patients’ files.   Results: Twenty-one patients with bicuspid aortic valve and ascending aortic aneurysm were operated during the study period. There were 8 patients (38.1%) in Group 1 and 13 patients (62.9%) in Group 2. Aortic cross-clamping time (P:0.006), cardiopulmonary bypass time (P: 0.022) and inotropic support usage (P:0.013) were found to be statistically significantly higher in Group 2. In postoperative follow-up period; intubation (P:0.011), intensive care (P: 0.034) and hospital staying times (P: 0.014), as well as the frequency of cerebrovascular events (P: 0.009) were found to be statistically significantly higher in Group 2.   Conclusion: Aortic valve repair might safely be performed in bicuspid aortic valve accompanied by ascending aortic aneurysms with acceptable results. Our results are encouraging to prefer valve repair technique as first option in the patients with aortic insufficiency accompanying with aortic aneurysms.