The Journal of Practical Medicine >

2024 , Vol. 40 >Issue 10: 1396 - 1401

DOI: https://doi.org/10.3969/j.issn.1006-5725.2024.10.011

Clinical Research

Impact of bicuspid aortic valve or tricuspid aortic valve on left ventricular reverse remodeling after transcatheter percutaneous intervention for coarctation of aorta complicated by bicuspid or tricuspid aortic valve

  • Peiyao MA ,
  • Shenke KONG ,
  • Qiang ZHAO ,
  • Kun WANG ,
  • Xin WANG ,
  • Wenzhi WANG ,
  • Fayun ZHAO ,
  • Yanxin LI ,
  • Pengfei WANG ,
  • Ruishan LIU ,
  • Gejun ZHANG ,
  • Zhongying XU ,
  • Liang XU ,
  • Huijun SONG ,
  • Yihang. LI
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  • *.Department of Cardiovascular Medicine，He′nan Provincial Chest Hospital，Zhengzhou 450000，China

Received date: 2023-09-15

  Online published: 2024-05-21

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Abstract

Objective To explore the difference in left ventricular reverse remodeling （LVRR） between coarctation of aorta （CoA） complicated by bicuspid aortic valve （BAV） and that by tricuspid aortic valve （TAV） after percutaneous intervention. Methods The clinical data on 47 patients undergoing percutaneous balloon dilation and stent implantation due to CoA in Fuwai Hospital of Chinese Academy of Medical Sciences from January 2014 to December 2021 were retrospectively analyzed. According to the preoperative imaging data， there were 18 patients with BAVA and 29 with TAV. The results of echocardiography before and one year after the procedure were compared. Results CoA Vmax， CoA PG， LVEDd， LVEDdi， LVM and LVMI were significantly improved in CoA patients one year after percutaneous intervention， and 23.4% of the patients developed left ventricular reverse remodeling. AV Vmax， AV PG and LVEDdi in the patients with BAV were higher than those in the TAV group （P = 0.005 and P = 0.007； P = 0.03）， and the rate of left ventricular reverse remodeling in BAV patients was lower than that in TAV patients， but there was no statistical significance. Multivariate analysis did not find any influence factors affecting left ventricular reverse remodeling one year after the procedure. Conclusions Part of the CoA patients develops left ventricular remodeling reversal one year after percutaneous intervention. LVRR in patients with BAV is lower than that in those with TAV， which still needs further clinical research.

Key words： coarctation of aorta; bicuspid aortic valve; percutaneous intervention; left ventricular reverse remodeling

Cite this article

Peiyao MA , Shenke KONG , Qiang ZHAO , Kun WANG , Xin WANG , Wenzhi WANG , Fayun ZHAO , Yanxin LI , Pengfei WANG , Ruishan LIU , Gejun ZHANG , Zhongying XU , Liang XU , Huijun SONG , Yihang. LI . Impact of bicuspid aortic valve or tricuspid aortic valve on left ventricular reverse remodeling after transcatheter percutaneous intervention for coarctation of aorta complicated by bicuspid or tricuspid aortic valve[J]. The Journal of Practical Medicine, 2024 , 40(10) : 1396 -1401 . DOI: 10.3969/j.issn.1006-5725.2024.10.011

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