•  
  •  
 

Corresponding Author

Mohammad Abd-Elrazek Basiouny El-Saadany

Abstract

Background: Surgical aortic valve replacement (AVR) is a prevalent intervention for managing aortic valve disease.

Aim and objectives: To investigate the early outcomes of patients with a small aortic root who had aortic valve replacement with the NICKS procedure at Al Azhar University Hospitals, focusing on morbidity and death.

Patients and methods: This retrospective analysis involved 40 patients with a small aortic valve annulus who had aortic valve replacement at Al Azhar University Hospitals.

Results: Fourteen individuals had mixed lesions of aortic stenosis and aortic regurgitation, whereas twenty-six patients presented with mainly aortic stenosis. The diameter of the aortic root annulus ranged from 17 to 19 mm. The average aortic cross-clamp duration was 70.32 (±15.92 SD) minutes, and the average cardiopulmonary bypass duration was 118.9 (±20.73 SD) minutes. Among the patients reviewed, 2 (5.13%) had bleeding, and 1 (2.5%) encountered challenges in weaning from bypass. Among the analyzed patients, there was 1 (2.5%) fatality attributed to challenging weaning off bypass, with an average ICU stay of 2 to 5 days and an average duration of mechanical ventilation ranging from 6 to 48 hours.

Conclusion: Nick's approach is a viable and secure treatment for patients necessitating aortic valve replacement (AVR) with a diminutive aortic root, facilitating the insertion of bigger prostheses, reducing anticipated prosthesis-patient mismatch (PPM), and preserving aortic valve performance without elevating the risk of death or postoperative hemorrhage.

Article Type

Original Article

Keywords

NICKS Technique, aortic valve replacement, small aortic root

Subject Area

Thoracic and cardiovascular surgery

Download

Plum Print visual indicator of research metrics
PlumX Metrics
  • Usage
    • Downloads: 2
see details

Share

COinS