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Progression of ascending aortopathy may not occur after transcatheter aortic valve replacement in severe bicuspid aortic stenosis
DC Field | Value | Language |
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dc.contributor.author | Jung, Ji-Hyun | - |
dc.contributor.author | Kim, Hyung-Kwan | - |
dc.contributor.author | Park, Jun-Bean | - |
dc.contributor.author | Lee, Seung-Pyo | - |
dc.contributor.author | Koo, Bon-Kwon | - |
dc.contributor.author | Kim, Yong-Jin | - |
dc.contributor.author | Kim, Hyo Soo | - |
dc.contributor.author | Sohn, Dae-Won | - |
dc.date.accessioned | 2023-04-19T02:08:31Z | - |
dc.date.available | 2023-04-19T02:08:31Z | - |
dc.date.created | 2021-05-21 | - |
dc.date.issued | 2021-01 | - |
dc.identifier.citation | The Korean Journal of Internal Medicine, Vol.36 No.2, pp.332-341 | - |
dc.identifier.issn | 1226-3303 | - |
dc.identifier.uri | https://hdl.handle.net/10371/190462 | - |
dc.description.abstract | Background/Aims: We evaluated changes in the ascending aorta dimension post-transcatheter aortic valve replacement (TAVR) in bicuspid aortic valve (BiAV) and tricuspid aortic valve (TAV) patients. Methods: Patients with severe aortic stenosis undergoing TAVR at Seoul National University Hospital were consecutively recruited. Patients with less than 12 months' follow-up and/or with an ascending aorta size larger than 50 mm were excluded. The ascending aorta size was measured on a parasternal long axis view using transthoracic echocardiography. Results: Among the 67 patients who were included (age: 76.5 +/- 6.5 years; male: 52.2%; AV area: 0.67 +/- 0.15 cm(2)), 19 (28.4%) had BiAV; 48 (71.6%) had TAV. The median (interquartile ranges) follow-up duration was 398 days (361 to 451). BiAV patients were younger (73.2 +/- 7.2 vs. 77.8 +/- 5.8, p = 0.008), and had lower incidences of chronic renal disease (5.3% vs. 35.4%, p = 0.014) and history of coronary intervention (15.8% vs. 50.0%, p = 0.013), than TAV patients. On pre-procedural echocardiography, the ascending aorta dimensions in BiAV patients were larger than those in TAV patients (40.5 +/- 3.8 mm vs. 35.9 +/- 4.2 mm, p < 0.005). The ascending aorta dimension changed minimally during follow-up; post-TAVR, the ascending aorta's growth rate was -0.11 +/- 1.9 and 0.26 +/- 1.8 mm/yr in patients with BiAV and TAV, respectively (p = 0.50). Progression of the ascending aorta's dimension post-TAVR was not clinically significant in BiAV patients. Conclusions: The concern about the progression of aortopathy in BiAV patients post-TAVR may not be a clinical issue. This should be confirmed in studies with a larger population and with a longer follow-up duration. | - |
dc.language | 영어 | - |
dc.publisher | 대한내과학회 | - |
dc.title | Progression of ascending aortopathy may not occur after transcatheter aortic valve replacement in severe bicuspid aortic stenosis | - |
dc.type | Article | - |
dc.identifier.doi | 10.3904/kjim.2019.089 | - |
dc.citation.journaltitle | The Korean Journal of Internal Medicine | - |
dc.identifier.wosid | 000629158500011 | - |
dc.identifier.scopusid | 2-s2.0-85102448144 | - |
dc.citation.endpage | 341 | - |
dc.citation.number | 2 | - |
dc.citation.startpage | 332 | - |
dc.citation.volume | 36 | - |
dc.identifier.kciid | ART002685494 | - |
dc.description.isOpenAccess | Y | - |
dc.contributor.affiliatedAuthor | Koo, Bon-Kwon | - |
dc.contributor.affiliatedAuthor | Kim, Hyo Soo | - |
dc.contributor.affiliatedAuthor | Sohn, Dae-Won | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | RISK PATIENTS | - |
dc.subject.keywordPlus | IMPLANTATION | - |
dc.subject.keywordPlus | DILATATION | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordAuthor | Aortic valve stenosis | - |
dc.subject.keywordAuthor | Transcatheter aortic valve replacement | - |
dc.subject.keywordAuthor | Bicuspid | - |
dc.subject.keywordAuthor | Aortic aneurysm | - |
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