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Cusp shaving for concomitant mild to moderate rheumatic aortic insufficiency
Journal of Cardiac Surgery, 10/29/09

Tekumit H et al. – The aim of this study was to assess the early and mid-term results of patients who underwent cardiac operations due to cardiac pathologies other than aortic valve (AV) disease, but also had mild-to-moderate aortic valve insufficiency that was repaired during the same session. Cusp shaving is a feasible option that can be performed with low risk for concomitant aortic insufficiency.

Methods

43 patients who underwent AV repair for mild-to-moderate aortic insufficiency between January 2003 and February 2009, in addition to the procedure performed for their main pathology necessitating the surgical intervention included
Cardiac function evaluated, before and after operation

Results

Hospital mortality rate 4.6% (2 patients)
After operations, significant improvements observed in aortic insufficiency, New York Heart Association class , and left atrial diameter
Left ventricular end diastolic and end-systolic diameters remained unchanged
2 patients were re-operated for AV disease during follow-up period
At 5 years, rate of freedom from re-operation due to AV pathology was 90.7 ± 6.3%

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