Surgical outcomes among children with bicuspid aortic valve: 17 years of experience in a single center. First report in Mexico
Purpose To evaluate the clinical and surgical outcomes among children with bicuspid aortic valve who underwent cardiac surgery. Methods This observational and retrospective study included patients with a diagnosis of bicuspid aortic valve who underwent cardiac surgery between January 1, 2003, and Ma...
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| Veröffentlicht in: | Journal of cardiac surgery 2022-12, Vol.37 (12), p.4459-4464 |
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| container_title | Journal of cardiac surgery |
| container_volume | 37 |
| creator | Ortega‐Zhindón, Diego B. Calderón‐Colmenero, Juan Pereira‐López, Gabriela I. Sandoval, Juan P. Rivera‐Buendía, Frida Cervantes‐Salazar, Jorge L. |
| description | Purpose
To evaluate the clinical and surgical outcomes among children with bicuspid aortic valve who underwent cardiac surgery.
Methods
This observational and retrospective study included patients with a diagnosis of bicuspid aortic valve who underwent cardiac surgery between January 1, 2003, and March 31, 2020. Demographic characteristics and perioperative conditions were described.
Results
One hundred and sixteen patients were included, with a mean age of 12.4 ± 4.2 years; 63.2% were male. The most frequent diagnosis was congenital aortic stenosis (23.5%), followed by connective tissue disorders (16%). Mechanical aortic prostheses were used in 87.7% of cases, with a mean size of 21 ± 2.6 mm. The main factors associated with mortality were valve prosthesis dysfunction (odds ratio [OR]: 12.44; 95% confidence interval [CI]: 1.05–147.48; p = .04) and reoperation (OR: 24.29; 95% CI: 1.03–570.08; p = .04). The overall survival was 87.9%, with better outcomes among those who did not undergo reoperation (Log Rank, p = .01).
Conclusions
Outcomes after aortic valve replacement in children with bicuspid aortic valve are excellent in the short and long term, regardless of using mechanical or biological prostheses. |
| doi_str_mv | 10.1111/jocs.17024 |
| format | Article |
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To evaluate the clinical and surgical outcomes among children with bicuspid aortic valve who underwent cardiac surgery.
Methods
This observational and retrospective study included patients with a diagnosis of bicuspid aortic valve who underwent cardiac surgery between January 1, 2003, and March 31, 2020. Demographic characteristics and perioperative conditions were described.
Results
One hundred and sixteen patients were included, with a mean age of 12.4 ± 4.2 years; 63.2% were male. The most frequent diagnosis was congenital aortic stenosis (23.5%), followed by connective tissue disorders (16%). Mechanical aortic prostheses were used in 87.7% of cases, with a mean size of 21 ± 2.6 mm. The main factors associated with mortality were valve prosthesis dysfunction (odds ratio [OR]: 12.44; 95% confidence interval [CI]: 1.05–147.48; p = .04) and reoperation (OR: 24.29; 95% CI: 1.03–570.08; p = .04). The overall survival was 87.9%, with better outcomes among those who did not undergo reoperation (Log Rank, p = .01).
Conclusions
Outcomes after aortic valve replacement in children with bicuspid aortic valve are excellent in the short and long term, regardless of using mechanical or biological prostheses.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.17024</identifier><identifier>PMID: 36229968</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Aortic Valve - abnormalities ; Aortic Valve Stenosis - surgery ; bicuspid aortic valve ; Bicuspid Aortic Valve Disease - surgery ; Child ; congenital heart disease ; congenital heart surgery ; Female ; Heart Valve Prosthesis Implantation ; Humans ; Male ; Mexico - epidemiology ; Reoperation ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Journal of cardiac surgery, 2022-12, Vol.37 (12), p.4459-4464</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3244-4d0edb4e78ba54575ac97e34d437bcfc46534c88c7c13d3cbdd6666ba31d581d3</cites><orcidid>0000-0002-1400-0883</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.17024$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.17024$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36229968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ortega‐Zhindón, Diego B.</creatorcontrib><creatorcontrib>Calderón‐Colmenero, Juan</creatorcontrib><creatorcontrib>Pereira‐López, Gabriela I.</creatorcontrib><creatorcontrib>Sandoval, Juan P.</creatorcontrib><creatorcontrib>Rivera‐Buendía, Frida</creatorcontrib><creatorcontrib>Cervantes‐Salazar, Jorge L.</creatorcontrib><title>Surgical outcomes among children with bicuspid aortic valve: 17 years of experience in a single center. First report in Mexico</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>Purpose
To evaluate the clinical and surgical outcomes among children with bicuspid aortic valve who underwent cardiac surgery.
Methods
This observational and retrospective study included patients with a diagnosis of bicuspid aortic valve who underwent cardiac surgery between January 1, 2003, and March 31, 2020. Demographic characteristics and perioperative conditions were described.
Results
One hundred and sixteen patients were included, with a mean age of 12.4 ± 4.2 years; 63.2% were male. The most frequent diagnosis was congenital aortic stenosis (23.5%), followed by connective tissue disorders (16%). Mechanical aortic prostheses were used in 87.7% of cases, with a mean size of 21 ± 2.6 mm. The main factors associated with mortality were valve prosthesis dysfunction (odds ratio [OR]: 12.44; 95% confidence interval [CI]: 1.05–147.48; p = .04) and reoperation (OR: 24.29; 95% CI: 1.03–570.08; p = .04). The overall survival was 87.9%, with better outcomes among those who did not undergo reoperation (Log Rank, p = .01).
Conclusions
Outcomes after aortic valve replacement in children with bicuspid aortic valve are excellent in the short and long term, regardless of using mechanical or biological prostheses.</description><subject>Adolescent</subject><subject>Aortic Valve - abnormalities</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>bicuspid aortic valve</subject><subject>Bicuspid Aortic Valve Disease - surgery</subject><subject>Child</subject><subject>congenital heart disease</subject><subject>congenital heart surgery</subject><subject>Female</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Humans</subject><subject>Male</subject><subject>Mexico - epidemiology</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFP2zAYhq0JNArssh8wfUc0KcWOnTjZbaqAbQJxKDtHzuevrVESZ3ZS6IXfvnRlHHkv7-XRc3gY-yz4XEy7fPQY50LzVH1gM5EpnhSiFEdsxosiT7hS_ISdxvjIeZoqyT-yE5mnaVnmxYy9LMewdmga8OOAvqUIpvXdGnDjGhuogyc3bKB2OMbeWTA-DA5ha5otfQOhYUcmRPAroOeegqMOCVwHBqLr1g0BUjdQmMO1C3GAQP0k2AN39OzQn7PjlWkifXr9M_b7-uph8SO5vb_5ufh-m6BMlUqU5WRrRbqoTaYynRksNUllldQ1rlDlmVRYFKhRSCuxtjafVhspbFYIK8_YxcHbB_9npDhUrYtITWM68mOsUp1motS6lBP69YBi8DEGWlV9cK0Ju0rwat-72veu_vWe4C-v3rFuyb6h_wNPgDgAT66h3Tuq6tf9YnmQ_gX8RYxo</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Ortega‐Zhindón, Diego B.</creator><creator>Calderón‐Colmenero, Juan</creator><creator>Pereira‐López, Gabriela I.</creator><creator>Sandoval, Juan P.</creator><creator>Rivera‐Buendía, Frida</creator><creator>Cervantes‐Salazar, Jorge L.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1400-0883</orcidid></search><sort><creationdate>202212</creationdate><title>Surgical outcomes among children with bicuspid aortic valve: 17 years of experience in a single center. First report in Mexico</title><author>Ortega‐Zhindón, Diego B. ; Calderón‐Colmenero, Juan ; Pereira‐López, Gabriela I. ; Sandoval, Juan P. ; Rivera‐Buendía, Frida ; Cervantes‐Salazar, Jorge L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3244-4d0edb4e78ba54575ac97e34d437bcfc46534c88c7c13d3cbdd6666ba31d581d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Aortic Valve - abnormalities</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>bicuspid aortic valve</topic><topic>Bicuspid Aortic Valve Disease - surgery</topic><topic>Child</topic><topic>congenital heart disease</topic><topic>congenital heart surgery</topic><topic>Female</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Humans</topic><topic>Male</topic><topic>Mexico - epidemiology</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ortega‐Zhindón, Diego B.</creatorcontrib><creatorcontrib>Calderón‐Colmenero, Juan</creatorcontrib><creatorcontrib>Pereira‐López, Gabriela I.</creatorcontrib><creatorcontrib>Sandoval, Juan P.</creatorcontrib><creatorcontrib>Rivera‐Buendía, Frida</creatorcontrib><creatorcontrib>Cervantes‐Salazar, Jorge L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ortega‐Zhindón, Diego B.</au><au>Calderón‐Colmenero, Juan</au><au>Pereira‐López, Gabriela I.</au><au>Sandoval, Juan P.</au><au>Rivera‐Buendía, Frida</au><au>Cervantes‐Salazar, Jorge L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcomes among children with bicuspid aortic valve: 17 years of experience in a single center. First report in Mexico</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2022-12</date><risdate>2022</risdate><volume>37</volume><issue>12</issue><spage>4459</spage><epage>4464</epage><pages>4459-4464</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>Purpose
To evaluate the clinical and surgical outcomes among children with bicuspid aortic valve who underwent cardiac surgery.
Methods
This observational and retrospective study included patients with a diagnosis of bicuspid aortic valve who underwent cardiac surgery between January 1, 2003, and March 31, 2020. Demographic characteristics and perioperative conditions were described.
Results
One hundred and sixteen patients were included, with a mean age of 12.4 ± 4.2 years; 63.2% were male. The most frequent diagnosis was congenital aortic stenosis (23.5%), followed by connective tissue disorders (16%). Mechanical aortic prostheses were used in 87.7% of cases, with a mean size of 21 ± 2.6 mm. The main factors associated with mortality were valve prosthesis dysfunction (odds ratio [OR]: 12.44; 95% confidence interval [CI]: 1.05–147.48; p = .04) and reoperation (OR: 24.29; 95% CI: 1.03–570.08; p = .04). The overall survival was 87.9%, with better outcomes among those who did not undergo reoperation (Log Rank, p = .01).
Conclusions
Outcomes after aortic valve replacement in children with bicuspid aortic valve are excellent in the short and long term, regardless of using mechanical or biological prostheses.</abstract><cop>United States</cop><pmid>36229968</pmid><doi>10.1111/jocs.17024</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1400-0883</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Aortic Valve - abnormalities Aortic Valve Stenosis - surgery bicuspid aortic valve Bicuspid Aortic Valve Disease - surgery Child congenital heart disease congenital heart surgery Female Heart Valve Prosthesis Implantation Humans Male Mexico - epidemiology Reoperation Retrospective Studies Treatment Outcome |
| title | Surgical outcomes among children with bicuspid aortic valve: 17 years of experience in a single center. First report in Mexico |
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