Aortic valve repair using aortic wall as leaflet patch material in children.

ABSTRACT:

Background

Aortic valve repair (AVr) exhibits acceptable outcomes in children with adequate native tissue. With deficient leaflets, patch augmentation is often required. Autologous pericardium (AP) calcification precipitates cusp immobility and high failure rates. Alternatively, the use of aortic wall (AW) as leaflet patch material was assessed.

Methods

Between January 2023 and July 2024, 38 children underwent AVr using bicuspidization (n = 29; 76%) or another technique with AW (n = 19) or AP (n = 19) patches. Concurrent reduction ascending aortoplasty was performed more often in AW (n = 18 [95%] vs 10 [53%] for AP; P = .008). Primary endpoints were AoV reoperation and/or recurrent >mild aortic regurgitation (AR).

Results

Hospital stay, complications, and predi

SUBMITTER: Recco DP 

PROVIDER: S-EPMC12529682 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature