Comparison of two surgical treatment for aortic valve diseases combined with ascending aortic dilatation
Zhu Jiang
Li Zhuo-dong
Tan Meng-wei
Tang Hao
Xu Zhi-yun
Abstract：Objective To analyze risk factors for postoperative adverse events of patients with aortic valve diseases combined with ascending aortic dilatation,and to provide theoretical basis for clinical diagnosis and treatment of aortic valve diseases combined with ascending aortic dilatation.Methods One hundred and twenty-four patients with aortic valve diseases combined with ascending aortic dilatation were analyzed retrospectively,and all of them underwent aortic valve replacement (AVR) combined with ascending aortic replacement (or aortoplasty).Patients were divided into observation group (22) and control group (102) according to the adverse events occurred in the follow-up period.Results Univariate analysis of prognostic factors showed statistically significances in gender,aortic valve,preoperative diameter of ascending aorta,preoperative left ventricular end diastolic volume (LVEDV) between the 2 groups.Multiple regression analysis indicated that bicuspid aortic valve (BAV) (P=0.015,OR=6.892,95％CI: 1.452-32.724),longer preoperative diameter of ascending aorta (P<0.01,OR=3.087,95％CI: 1.545-6.166),larger preoperative LVEDV (P=0.01,OR=3.087,95％CI: 1.545-6.166) were risk factors of poor prognosis.Conclusion BAV,preoperative diameter of ascending aorta,larger preoperative LVEDV are independent predictors of poor prognosis in patients with aortic valve diseases combined with ascending aortic dilatation.
Keywords：Aortic valve diseaseAscending aortic dilatationPrognosisLogistic regression
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 153-158 )