Korean Circulation Journal

  • 제42권11호
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  • Pages.769-771
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  • 2012
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
권호 표지
DOI QR코드

DOI QR Code

Safety of Comprehensive Aortic Root and Valve Repair Surgery: A Retrospective Outcomes Research by National Evidence-Based Health Care Collaborating Agency, Korea

  • Bae, Jong-Myon (National Evidence-Based Healthcare Collaborating Agency (NECA)) ;
  • Shin, Eunhee (National Evidence-Based Healthcare Collaborating Agency (NECA)) ;
  • Heo, Dae Seog (National Evidence-Based Healthcare Collaborating Agency (NECA))
  • 발행 : 2012.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

Comprehensive aortic root and valve repair (CARVAR) is a recently introduced surgical technique for aortic valve disease. The National Evidence- based Health Care Collaborating Agency was offered by the ministry of Health and Welfare, Korea to perform a restrospective outcome analysis for this surgical procedure. The aims of this study were to evaluate the safety of patients who underwent CARVAR surgery and to provide a rationale for further prospective randomized study. During the period of March 2007 to November 2009, 397 patients received this procedure and enrolled in this study. Clinical events including major bleeding, endocarditis, re-operation and death were followed- up till March 2010 by medical records. During the follow-up periods, 1-year cumulative incidence of major bleeding, re-operation, endocarditis and death were 3.55, 5.65, 5.05 and 5.33%/year respectively. This study showed that the CARVAR technique is not beneficial, and is indeed even more harmful than conventional valve replacement surgery.

키워드

참고문헌

  1. Hahm SY, Choo SJ, Lee JW, et al. Novel technique of aortic valvuloplasty. Eur J Cardiothorac Surg 2006;29:530-6. https://doi.org/10.1016/j.ejcts.2006.01.009
  2. Hahm SY, Jung DS, Je HG, et al. Novel technique of aortic valve repair. Korean Circ J 2006;36:140-9. https://doi.org/10.4070/kcj.2006.36.2.140
  3. ScienCity Co., Ltd, Available from: http://www.sciencity.net/sub01_1.html. Cited Oct 31, 2012.
  4. Han SW, Kim HJ, Kim S, Ryu KH. Coronary ostial stenosis after aortic valvuloplasty (comprehensive aortic root and valve repair). Eur J Cardiothorac Surg 2009;35:1099-101. https://doi.org/10.1016/j.ejcts.2008.10.034
  5. Bae JM, Shin EH, Seo HS, et al. Retrospective analysis for Comprehensive Aortic Root and Valve Repair (CARVAR) procedure: National Evidence- based Healthcare Collaborating Agency (Korea): 2010. Available from: http://www.neca.re.kr/ktic/publication/disease_view.jsp?runMode=boardView&seq=41&t=20121030143322046&boardNo=GA&cpage=1&range=10&block=10&searchCol=&searchVal=&condition=MIDDLE_2%3D%2770%27+&menuName=%C1%DF%C0%E7%BA%B0&named=%C1%DF%C0%E7%BA%B0+%26gt%3B+%C4%A1%B7%E1+%26gt%3B+%BD%C3%BC%F. Cited Oct 31, 2012.
  6. Lim JY, Kim JB, Jung SH, Choo SJ, Chung CH, Lee JW. Surgical management of aortic root dilatation with advanced aortic regurgitation: bentall operation versus valve-sparing procedure. Korean J Thorac Cardiovasc Surg 2012;45:141-7. https://doi.org/10.5090/kjtcs.2012.45.3.141
  7. Joo HC, Chang BC, Youn YN, Yoo KJ, Lee S. Clinical experience with the Bentall procedure: 28 years. Yonsei Med J 2012;53:915-23. https://doi.org/10.3349/ymj.2012.53.5.915

피인용 문헌

  1. Neo-Leaflet Failure after Comprehensive Aortic Root and Valve Reconstruction vol.48, pp.5, 2012, https://doi.org/10.5090/kjtcs.2015.48.5.359
  2. Annular management during aortic valve repair: a systematic review vol.64, pp.2, 2012, https://doi.org/10.1007/s11748-015-0602-3