Shazia Anwar, Faiza Irum, Muhammad Junaid Mushtaq, Muhammad Mohsin Mahmood.
Aortic Aneurysm Following Aortic Valve Replacement.
Pak J Med Health Sci Jan ;12(3):996-8.

Background: Bicuspid aortic valve disease predominantly undergo aortic valve replacement. This genetic theory supposed bicuspid aortic valve aoropathy a congenital disease of vascular connective tissues that requites progressive treatment recomenditions for a certain syndrome. But some of the investigators arised questions to this progressive surgery option. Aim: To examine the aortic aneurysm after aortic valve surgery. Methods: This was an observational study where the opted design was retrospective. All the patients’ records were retrieved from the hospital record database for three years starting from Sep 2013. The duration of the study was of six months. The exclusion criteria include all the patients with renal disease, nephropathy, impaired hepatic function, and impaired renal function whereas all patients of both genders who underwent AVR surgery were included in this study. Results: A total of 120 patients were recruited for this study. The mean age was 51.3 +/-6.8 and the study contained higher number of Males participants i.e. 80(66.6%) The mortality rate can be compared easily through the outcomes. Three patients expired unexpectedly during hospital stay due to lethal arrhythmia. Autopsy evaluation was done for all these patients deprived of indication of aortic dissection or rupture. One patient in tricuspid aortic valve group died due to major stroke after surgery. Later on, 2 died in this group during hospital stay due to other complications but no death was due to aortic complication . Conclusion: The patients in both groups had relatively less chances of adverse aortic complications after isolated AVR. On these findings in conventional handling of ascending aorta at during AVR surgery is reasonable in patients having aortic valve stenosis.

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