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Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease
The novel anastomosis technique, “subannular endomyocardial implantation of valve prosthesis (SEIV),” focuses on excluding aortic annular tissue from suture line to avoid vascular inflammation in Behçet’s disease (BD). We aimed to validate that SEIV could prevent prosthetic valve detachment (PVD) af...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284663/ https://www.ncbi.nlm.nih.gov/pubmed/37062720 http://dx.doi.org/10.5761/atcs.cr.22-00231 |
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author | Ahn, Byoung Hee Jung, Yochun Hwang, Ho Young Oh, Sang Gi Lee, Kyo Seon Choi, Jae Woong |
author_facet | Ahn, Byoung Hee Jung, Yochun Hwang, Ho Young Oh, Sang Gi Lee, Kyo Seon Choi, Jae Woong |
author_sort | Ahn, Byoung Hee |
collection | PubMed |
description | The novel anastomosis technique, “subannular endomyocardial implantation of valve prosthesis (SEIV),” focuses on excluding aortic annular tissue from suture line to avoid vascular inflammation in Behçet’s disease (BD). We aimed to validate that SEIV could prevent prosthetic valve detachment (PVD) after aortic valve replacement (AVR) in BD patients and retrospectively analyzed the medical records of five BD patients who underwent AVR. There was no operative death. Two complete atrioventricular blocks occurred; in one of them, a permanent pacemaker (PPM) was inserted before discharge. The other one was discharged without a PPM; however, he died suddenly 32 days postoperatively. The median follow-up period was 3.3 years. There was a case of PVD with newly developed Valsalva sinus aneurysm requiring the Bentall operation at 3.6 years postoperatively. In conclusion, SEIV might prevent PVD in BD patients who underwent AVR. However, aortic root pathology related to BD activity and resulting PVD may occur later. |
format | Online Article Text |
id | pubmed-10284663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-102846632023-06-22 Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease Ahn, Byoung Hee Jung, Yochun Hwang, Ho Young Oh, Sang Gi Lee, Kyo Seon Choi, Jae Woong Ann Thorac Cardiovasc Surg Case Report The novel anastomosis technique, “subannular endomyocardial implantation of valve prosthesis (SEIV),” focuses on excluding aortic annular tissue from suture line to avoid vascular inflammation in Behçet’s disease (BD). We aimed to validate that SEIV could prevent prosthetic valve detachment (PVD) after aortic valve replacement (AVR) in BD patients and retrospectively analyzed the medical records of five BD patients who underwent AVR. There was no operative death. Two complete atrioventricular blocks occurred; in one of them, a permanent pacemaker (PPM) was inserted before discharge. The other one was discharged without a PPM; however, he died suddenly 32 days postoperatively. The median follow-up period was 3.3 years. There was a case of PVD with newly developed Valsalva sinus aneurysm requiring the Bentall operation at 3.6 years postoperatively. In conclusion, SEIV might prevent PVD in BD patients who underwent AVR. However, aortic root pathology related to BD activity and resulting PVD may occur later. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2023-04-15 2023 /pmc/articles/PMC10284663/ /pubmed/37062720 http://dx.doi.org/10.5761/atcs.cr.22-00231 Text en ©2023 Annals of Thoracic and Cardiovascular Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report Ahn, Byoung Hee Jung, Yochun Hwang, Ho Young Oh, Sang Gi Lee, Kyo Seon Choi, Jae Woong Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title | Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title_full | Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title_fullStr | Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title_full_unstemmed | Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title_short | Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet’s Disease |
title_sort | aortic valve replacement by subannular endomyocardial implantation of valve prosthesis in behçet’s disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284663/ https://www.ncbi.nlm.nih.gov/pubmed/37062720 http://dx.doi.org/10.5761/atcs.cr.22-00231 |
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