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Which technique of cusp repair is durable in reimplantation procedure?

Monday, June 26, 2017

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Source

Source Name: European Journal of Cardio-Thoracic Surgery

Author(s)

Hiroshi Tanaka, Hiroaki Takahashi, Takeshi Inoue, Takashi Matsueda, Tatsuya Oda, Noriyuki Abe, Yoshikatsu Nomura, Yasuko Gotake, and Yutaka Okita

The authors analyzed long-term recurrent aortic regurgitation (AR) in 249 patients with aortic insufficiency and reimplantation procedure. Of the cusp repair techniques evaluated in the analysis, only free margin reinforcement and patch repair influenced valve durability, the former positively and the latter negatively. Proportional hazard analysis also identified preoperative cusp prolapse as a significant risk factor for recurrent AR.

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