Article Sidebar

pdf
Date Published: 02/12/2024
Abstract Views: 113
Views pdf: 72
DOI: https://doi.org/10.51298/vmj.v544i3.11987
Issue
Vol. 544 No. 3 (2024)
Section
Các bài báo
How to Cite
Dương, Đức H., Lê, T. G., Nguyễn, H. Ước, & Phạm, H. L. (2024). CLINICAL AND ECHOCARDIOGRAPHY CHARACTERISTICS OF BICULATERAL AORTIC VALVE WHO WERE OPERATED AT VIET DUC UNIVERSITY HOSPITAL. Vietnam Medical Journal, 544(3). https://doi.org/10.51298/vmj.v544i3.11987

CLINICAL AND ECHOCARDIOGRAPHY CHARACTERISTICS OF BICULATERAL AORTIC VALVE WHO WERE OPERATED AT VIET DUC UNIVERSITY HOSPITAL

Đức Hùng Dương, Trường Giang Lê, Hữu Ước Nguyễn, Hữu Lư Phạm

Main Article Content

Abstract

Introduction: Bicuspid aortic valve is a common congenital heart defect. The study aims to evaluate the clinical characteristics and echocardiography results of patients with bicuspid aortic valve disease who underwent surgery at Viet Duc University Hospital from 2018 to mid-2024. Methods: Retrospective cross-sectional study, longitudinal follow-up of patients diagnosed with bicuspid aortic valve disease who underwent valve replacement surgery, from January 2018 to June 2024. Results: Including 75 patients with an average age of 60.9 ± 5.6 years (38 - 80), 60.1% were male. NYHA classification of heart failure was 100% moderate and severe (70.6% NYHA 2). Increased pressure gradient across the aortic valve / echocardiography - average 58.6 ± 16.0 mmHg (77% > 40 mmHg). Conclusion: Bicuspid aortic valve disease has a silent clinical course. The clinical picture upon admission is often obvious and in the late stage. Echocardiography has diagnostic value in determining heart valve damage and cardiac function.

Article Details

Keywords

Bicuspid aortic valve disease, aortic valve replacement, Vietduc University Hospital

References

1. Svensson LG, Al Kindi AH, Vivacqua A, et al. Long-term durability of bicuspid aortic valve repair. Ann Thorac Surg. 2014;97(5):1539-1547; discussion 1548. doi:10.1016/ j.athoracsur.2013.11.036
2. De Mozzi P, Longo UG, Galanti G, Maffulli N. Bicuspid aortic valve: a literature review and its impact on sport activity. Br Med Bull. 2008; 85(1):63-85. doi:10.1093/bmb/ldn002
3. Nitsche C, Koschutnik M, Kammerlander A, Hengstenberg C, Mascherbauer J. Gender-specific differences in valvular heart disease. Wien Klin Wochenschr. 2020;132(3-4): 61-68. doi:10. 1007/s00508-019-01603-x
4. Mack MJ, Leon MB, Smith CR, et al. 5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial. Lancet Lond Engl. 2015;385(9986):2477-2484. doi:10.1016/S0140-6736(15)60308-7
5. Bonow RO, Carabello BA, Chatterjee K, et al. 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. Circulation. 2008;118(15): e523-e661. doi:10.1161/ CIRCULATIONAHA.108.190748
6. Yasuda H, Nakatani S, Stugaard M, et al. Failure to prevent progressive dilation of ascending aorta by aortic valve replacement in patients with bicuspid aortic valve: comparison with tricuspid aortic valve. Circulation. 2003;108 Suppl 1:II291-294. doi:10.1161/ 01.cir. 0000087449.03964.fb
7. Kerneis C, Pasi N, Arangalage D, et al. Ascending aorta dilatation rates in patients with tricuspid and bicuspid aortic stenosis: the COFRASA/ GENERAC study. Eur Heart J Cardiovasc Imaging. 2018;19(7):792-799. doi:10.1093/ ehjci/jex176
8. Regeer MV, Versteegh MIM, Klautz RJM, et al. Effect of Aortic Valve Replacement on Aortic Root Dilatation Rate in Patients With Bicuspid and Tricuspid Aortic Valves. Ann Thorac Surg. 2016;102(6): 1981-1987. doi:10.1016/ j.athoracsur.2016.05.038