Ascending aortic aneurysm and aortic valve dysfunction in bicuspid aortic valve disease.
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Ascending aortic aneurysm and aortic valve dysfunction in bicuspid aortic valve disease. / Aydin, Muhammet Ali; Desai, Nikolaus; Bernhardt, Alexander; Treede, Hendrik; Detter, Christian; Sheikhzadeh, Sara; Rybczynski, Meike; Hillebrand, Mathias; Lorenzen, Viktoria; Mortensen, Kai; Robinson, Peter N; Berger, Jürgen; Reichenspurner, Hermann; Meinertz, Thomas; Willems, Stephan; Von Kodolitsch, Yskert.
in: INT J CARDIOL, Jahrgang 164, Nr. 3, 15.04.2013, S. 301-305.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Ascending aortic aneurysm and aortic valve dysfunction in bicuspid aortic valve disease.
AU - Aydin, Muhammet Ali
AU - Desai, Nikolaus
AU - Bernhardt, Alexander
AU - Treede, Hendrik
AU - Detter, Christian
AU - Sheikhzadeh, Sara
AU - Rybczynski, Meike
AU - Hillebrand, Mathias
AU - Lorenzen, Viktoria
AU - Mortensen, Kai
AU - Robinson, Peter N
AU - Berger, Jürgen
AU - Reichenspurner, Hermann
AU - Meinertz, Thomas
AU - Willems, Stephan
AU - Von Kodolitsch, Yskert
N1 - Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
PY - 2013/4/15
Y1 - 2013/4/15
N2 - BACKGROUND: The relationship of aortic valve dysfunction and ascending aortic aneurysm is unclear in adults with bicuspid aortic valve disease.METHODS: We retrospectively studied 134 consecutive out-patients (98 men, 36 women aged 43 ± 18 years) with bicuspid aortic valve disease. To investigate the relationship of ascending aortic aneurysm and aortic valve dysfunction we exclusively considered severe pathologies that required treatment by surgical or percutaneous intervention.RESULTS: Of 134 patients, 39 had aortic valve dysfunction without concomitant ascending aortic aneurysm which had been treated previously with isolated valve surgery or percutaneous valvuloplasty comprising 25 patients with aortic stenosis (19%) and 14 patients with aortic regurgitation (10%). Conversely, 26 patients had ascending aortic aneurysm which had been treated previously with aortic surgery (19%). Of these, ascending aortic aneurysm was associated with severe aortic stenosis in 13 patients and with severe aortic regurgitation in 7 patients, whereas aneurysm was unrelated to severe aortic valve dysfunction in the remaining 6 patients including 2 without any degree of aortic valve dysfunction. The maximal aortic diameters were similar at the time of aortic surgery irrespective of presence of severe aortic valve dysfunction (P=.527). Other characteristics of patients with ascending aortic aneurysm were also similar irrespective of presence or type of aortic valve dysfunction.CONCLUSION: The majority of patients with bicuspid aortic valve disease exhibit ascending aortic aneurysm in conjunction with severe aortic valve dysfunction. However, in our study 6 of 134 (5%) of persons with bicuspid aortic valve disease developed ascending aortic aneurysm without aortic valve dysfunction.
AB - BACKGROUND: The relationship of aortic valve dysfunction and ascending aortic aneurysm is unclear in adults with bicuspid aortic valve disease.METHODS: We retrospectively studied 134 consecutive out-patients (98 men, 36 women aged 43 ± 18 years) with bicuspid aortic valve disease. To investigate the relationship of ascending aortic aneurysm and aortic valve dysfunction we exclusively considered severe pathologies that required treatment by surgical or percutaneous intervention.RESULTS: Of 134 patients, 39 had aortic valve dysfunction without concomitant ascending aortic aneurysm which had been treated previously with isolated valve surgery or percutaneous valvuloplasty comprising 25 patients with aortic stenosis (19%) and 14 patients with aortic regurgitation (10%). Conversely, 26 patients had ascending aortic aneurysm which had been treated previously with aortic surgery (19%). Of these, ascending aortic aneurysm was associated with severe aortic stenosis in 13 patients and with severe aortic regurgitation in 7 patients, whereas aneurysm was unrelated to severe aortic valve dysfunction in the remaining 6 patients including 2 without any degree of aortic valve dysfunction. The maximal aortic diameters were similar at the time of aortic surgery irrespective of presence of severe aortic valve dysfunction (P=.527). Other characteristics of patients with ascending aortic aneurysm were also similar irrespective of presence or type of aortic valve dysfunction.CONCLUSION: The majority of patients with bicuspid aortic valve disease exhibit ascending aortic aneurysm in conjunction with severe aortic valve dysfunction. However, in our study 6 of 134 (5%) of persons with bicuspid aortic valve disease developed ascending aortic aneurysm without aortic valve dysfunction.
U2 - 10.1016/j.ijcard.2011.07.018
DO - 10.1016/j.ijcard.2011.07.018
M3 - SCORING: Journal article
C2 - 21802748
VL - 164
SP - 301
EP - 305
JO - INT J CARDIOL
JF - INT J CARDIOL
SN - 0167-5273
IS - 3
ER -