Aortic Bicuspidy: Clinical Profile and Surgery

Aortic Bicuspidy, Infective Endocarditis, Aortic Valve Replacement

Authors

  • A. Seghrouchni Cardiovascular surgery department, Mohammed V military training hospital, Rabat-Morocco & Faculty of Medicine and Pharmacy of Fes, University of Sidi Mohamed Ben Abdellah Fes.
  • N. Atmani Cardiovascular surgery department, Mohammed V military training hospital, Rabat-Morocco & Faculty of Medicine and Pharmacy of Fes, University of Sidi Mohamed Ben Abdellah Fes.
  • Y. Moutakiallah Cardiovascular surgery department, Mohammed V military training hospital, Rabat-Morocco
  • Y. El Bekkali Cardiovascular surgery department, Mohammed V military training hospital, Rabat-Morocco
  • M. Ait Houssa Cardiovascular surgery department, Mohammed V military training hospital, Rabat-Morocco
October 24, 2021
October 25, 2021

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Objective:

To study the anatomic-clinical profile of aortic bicuspidy and the outcome of surgery.

Patients and Methods:

During an 18-year period, 448 patients had aortic valve replacement. Of these, 24 (5.3%) had aortic bicuspidy (AB). The diagnosis of AB was made by echocardiography or during surgery. All patients underwent surgery under extracorporeal circulation.

Results:

The mean age was 45.2 ± 11.8 years, 14 patients (58.3%) had aortic stenosis and 10 cases (41.7%) had aortic insufficiency, 4 of whom had infective endocarditis. All patients had aortic valve replacement. The operative mortality rate was zero. The mean times of the cardiopulmonary bypass (CPB) and aortic clamping were 99.2 ± 35.4 min and 65.8 ± 24.9 min, respectively.

Conclusion:

Aortic bicuspidy progresses rapidly and becomes symptomatic in young adults. Despite excellent surgical results, early detection is desirable before complications occur.