Publications by authors named "M Noghin"
Article Synopsis
- A study comparing aortic valve repair and replacement in patients with aortic root aneurysm showed no significant differences in overall patient outcomes up to 4 years, although repairs slightly favored fewer valve-related deaths and major bleeding incidents.
- The multicentric CAVIAAR study included 261 patients, with 130 receiving valve repair and 131 receiving valve replacement, measuring various adverse events and outcomes after the procedures.
- Despite similar primary outcomes, repair patients experienced a notable decrease in certain complications, suggesting potential benefits of valve repair that warrant further long-term research.
Article Synopsis
- The study aimed to determine if aortic valve fenestrations (openings) influence the likelihood of repeated aortic insufficiency or the need for reoperation after valve repair.
- Data was gathered from 618 patients who underwent aortic valve repair between 2003 and 2019, including 167 cases involving fenestrations, which were either respected or fixed during surgery.
- The findings indicated that fenestration status had no significant effect on patient outcomes, such as survival rates and aortic insufficiency recurrence, emphasizing that a standardized surgical approach improved reoperation rates.
Root repair with aortic ring annuloplasty using the standard approach.
J Cardiovasc Surg (Torino)
February 2021
Article Synopsis
- Standardized techniques for aortic valve repair, particularly using calibrated annuloplasty, have significantly enhanced long-term results in patients with dystrophic aortic insufficiency.
- Dystrophic aortic insufficiency manifests in three forms, all characterized by a dilated aortic annulus, which is crucial to address during surgery to prevent future complications.
- Aortic valve repair has been shown to lower valve-related mortality rates and improve quality of life compared to traditional prosthetic valve replacement methods.
Background: Concerns have been previously raised regarding the potential early degeneration of the Mitroflow (Sorin Group Italia, Saluggia, Vercelli, Italy) bioprostheses. We aimed to evaluate our clinical experience with the Mitroflow LXA prosthesis for aortic valve replacement.
Methods: We prospectively analyzed data from 227 consecutive patients (133 males, mean age 73.
Objectives: An untreated dilated aortic annulus is a major risk factor for failure of aortic valve-sparing operations or repair of either bicuspid or tricuspid valve. Aortic annuloplasty efficiently reduces the annulus and increases the coaptation height, thus protecting the repair. This study analyses long-term results of 232 consecutive patients operated on with a standardized and physiological approach to aortic valve repair according to each phenotype of the dystrophic ascending aorta.
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