AORTLANTIC: French registry of aortic valve-sparing root replacement, preliminary multicenter results from Western France - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Interactive Cardiovascular and Thoracic Surgery Année : 2022

AORTLANTIC: French registry of aortic valve-sparing root replacement, preliminary multicenter results from Western France

Olivier Fouquet
  • Fonction : Auteur
  • PersonId : 1075582

Résumé

OBJECTIVES: Aortic root aneurysms often affect younger patients in whom valve-sparing surgery is challenging. Amongst current techniques, aortic valve-sparing root replacement described by Tirone David has shown encouraging results. The AORTLANTIC registry was instituted for a multicentre long-term evaluation of this procedure. The current initial study evaluates the hospital outcomes of the procedure. MATERIAL AND METHOD: This is a retrospective study of patients operated between January 01, 2004, and December 31, 2020, in 6 hospitals in western France. All study data were recorded in the national digital database of the French Society of Cardiac Surgery: EPICARD. RESULTS: 524 consecutive patients with a mean age of 53(15.1) years underwent surgery. 13% (n = 68) patients presented with acute aortic dissection, 16.5% (n = 86) had associated connective tissue pathology and 7.3% (n = 37) had bicuspid aortic valves. Preoperative aortic regurgitation ≥ 2/4 was present in 65.3% (n = 341) of patients. Aortic valvuloplasty was required in 18.6% (n = 95) patients. At discharge, 92.8% (n = 461) patients had no or 1/4 aortic regurgitation. The stroke rate was 1.9% (n = 10). Intra-hospital mortality was 1.9% (n = 10). CONCLUSION: The AORTLANTIC registry includes 6 centers in western France with more than 500 patients. Despite numerous complex cases (acute aortic dissections, bicuspid aortic valves, preoperative aortic regurgitation), aortic valve-sparing root replacement has a low intra-hospital mortality. The initial encouraging results of this multicentre study warrant further long-term evaluation by future studies. CLINICAL REGISTRATION NUMBER: Nov 2021: This registry was approved by an ethics committee mandated by the CNIL (Commission Nationale de l’Informatique et des Libertés) to approve scientific projects of the Nantes Hospital Centre.
Fichier principal
Vignette du fichier
ivac240.pdf (715.74 Ko) Télécharger le fichier
Origine : Publication financée par une institution

Dates et versions

hal-03799009 , version 1 (23-01-2023)

Licence

Paternité - Pas d'utilisation commerciale

Identifiants

Citer

Clément Dubost, Jacques Tomasi, Antoine Ducroix, Kévin Pluchon, Pierre Escrig, et al.. AORTLANTIC: French registry of aortic valve-sparing root replacement, preliminary multicenter results from Western France. Interactive Cardiovascular and Thoracic Surgery, 2022, 35 (5), ⟨10.1093/icvts/ivac240⟩. ⟨hal-03799009⟩
49 Consultations
17 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More