2016
At the Root of the Repair Debate: Outcomes After Elective Aortic Root Replacements for Aortic Insufficiency With Aneurysm
McCarthy FH, Bavaria JE, McDermott KM, Moeller P, Spragan D, Hoedt A, Dibble T, Savino D, Williams ML, Vallabhajosyula P, Szeto WY, Desai ND. At the Root of the Repair Debate: Outcomes After Elective Aortic Root Replacements for Aortic Insufficiency With Aneurysm. The Annals Of Thoracic Surgery 2016, 102: 1199-1205. PMID: 27261085, DOI: 10.1016/j.athoracsur.2016.03.071.Peer-Reviewed Original ResearchMeSH KeywordsAdultAortic Aneurysm, ThoracicAortic Valve InsufficiencyBlood Vessel Prosthesis ImplantationCause of DeathDatabases, FactualElective Surgical ProceduresFemaleFollow-Up StudiesHeart Valve Prosthesis ImplantationHospital MortalityHumansKaplan-Meier EstimateMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk AssessmentSurvival AnalysisTreatment OutcomeConceptsModerate aortic insufficiencySevere aortic insufficiencyAortic insufficiencyLong-term survivalRoot replacementWorse survivalAI patientsDecreased long-term survivalElective aortic root replacementWorse long-term survivalPreoperative aortic insufficiencyPreoperative renal failureAortic root replacementAppropriate therapeutic strategiesGreater aortic insufficiencyTiming of interventionUnited States populationRenal failureYounger patientsMultivariable predictorsSimilar patientsAortic aneurysmSingle institutionInclusion criteriaSimilar survival
2013
Geometric orientation of the aortic neoroot in patients with raphed bicuspid aortic valve disease undergoing primary cusp repair and a root reimplantation procedure†
Vallabhajosyula P, Szeto WY, Komlo CM, Ryan LP, Wallen TJ, Gorman RC, Desai ND, Bavaria JE. Geometric orientation of the aortic neoroot in patients with raphed bicuspid aortic valve disease undergoing primary cusp repair and a root reimplantation procedure†. European Journal Of Cardio-Thoracic Surgery 2013, 45: 174-180. PMID: 23832833, PMCID: PMC3889626, DOI: 10.1093/ejcts/ezt354.Peer-Reviewed Original ResearchConceptsBicuspid aortic valve diseaseAortic insufficiencyAortic valve diseaseCusp repairTransvalvular gradientRoot reimplantationValve diseasePeak gradientAnnular circumferenceFive-year actuarial survivalHigh transvalvular gradientsEffective surgical treatmentAortic root reimplantationType IActuarial freedomActuarial survivalAortic reoperationBAV repairHospital mortalityPreoperative characteristicsRenal failureRetrospective reviewSurgical treatmentEntire cohortAI patients