Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience

Introduction: Surgical treatment for the aortic valve and ascending aortic aneurysm is currently a frequently performed procedure. It is reported that up to 15% of patients requiring aortic valve surgery also need simultaneous surgical intervention of the ascending aorta. The main objective of thi...

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Main Authors: Selman Dumani, Ermal Likaj, Laureta Dibra, Devis Pellumbi, Alfred Ibrahimi, Stavri Llazo, Edlira Rruci, Jonela Burimi, Klodian Krakulli, Andi Kacani, Ali Refatllari, Alessia Mehmeti, Vera Beca, Elizana Petrela, Altin Veshti
Format: Article
Language:English
Published: Albanian Society for Trauma and Emergency Surgery 2025-07-01
Series:Albanian Journal of Trauma and Emergency Surgery
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Online Access:https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/456
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author Selman Dumani
Ermal Likaj
Laureta Dibra
Devis Pellumbi
Alfred Ibrahimi
Stavri Llazo
Edlira Rruci
Jonela Burimi
Klodian Krakulli
Andi Kacani
Ali Refatllari
Alessia Mehmeti
Vera Beca
Elizana Petrela
Altin Veshti
author_facet Selman Dumani
Ermal Likaj
Laureta Dibra
Devis Pellumbi
Alfred Ibrahimi
Stavri Llazo
Edlira Rruci
Jonela Burimi
Klodian Krakulli
Andi Kacani
Ali Refatllari
Alessia Mehmeti
Vera Beca
Elizana Petrela
Altin Veshti
author_sort Selman Dumani
collection DOAJ
description Introduction: Surgical treatment for the aortic valve and ascending aortic aneurysm is currently a frequently performed procedure. It is reported that up to 15% of patients requiring aortic valve surgery also need simultaneous surgical intervention of the ascending aorta. The main objective of this study is to present, for the first time in our country, the early postoperative outcomes of combined aortic valve surgery and supra-commissural ascending aorta replacement. This study, being the first of its kind in our country, holds significant importance in the field of cardiovascular surgery. Materials and Methods: This retrospective cohort study included patients who underwent simultaneous aortic valve surgery and supracommissural ascending aorta replacement between 2007 and 2023 at the Department of Cardiac Surgery, UHC ‘Mother Teresa,’ Tirana, Albania. Data were extracted from surgical registries and medical hospital records. Results: A total of 131 patients participated in the study, consisting of 102 males (77.9%) and 29 females (22.1%). The average age of the cohort was 57.33 ± 11.90 years. The majority of patients (93.9%, 123/131) underwent elective surgery. Severe aortic valve stenosis was the most prevalent primary pathology, affecting 58 patients (44.3%). The in-hospital mortality rate was 2.29% (3/131 patients) … Conclusion: Simultaneous aortic valve surgery and supra-commissural ascending aorta replacement at our institution is associated with excellent early postoperative outcomes, reassuring us of the effectiveness of this procedure in our practice.
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institution Kabale University
issn 2521-8778
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language English
publishDate 2025-07-01
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record_format Article
series Albanian Journal of Trauma and Emergency Surgery
spelling doaj-art-5cc594a0cda846669b573f0167b71b8d2025-08-20T03:25:06ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-07-019210.32391/ajtes.v9i2.456Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center ExperienceSelman Dumani0Ermal Likaj1Laureta Dibra2Devis Pellumbi3Alfred IbrahimiStavri Llazo4Edlira Rruci5Jonela Burimi6Klodian Krakulli7Andi Kacani8Ali Refatllari9Alessia Mehmeti10Vera Beca11Elizana Petrela12Altin Veshti13Cardiac Surgery Service, University Hospital Center "Mother Theresa,", Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaService of Hospital Infections, University Hospital Obstetrics and Gynecology "Queen Geraldine," Tirana, ALBANIAService of Statistics, University Hospital Center “Mother Theresa” Tirana, ALBANIAService of Cardiac Surgery, University Hospital Center” Mother Theresa”, Tirana, AlbaniaIntroduction: Surgical treatment for the aortic valve and ascending aortic aneurysm is currently a frequently performed procedure. It is reported that up to 15% of patients requiring aortic valve surgery also need simultaneous surgical intervention of the ascending aorta. The main objective of this study is to present, for the first time in our country, the early postoperative outcomes of combined aortic valve surgery and supra-commissural ascending aorta replacement. This study, being the first of its kind in our country, holds significant importance in the field of cardiovascular surgery. Materials and Methods: This retrospective cohort study included patients who underwent simultaneous aortic valve surgery and supracommissural ascending aorta replacement between 2007 and 2023 at the Department of Cardiac Surgery, UHC ‘Mother Teresa,’ Tirana, Albania. Data were extracted from surgical registries and medical hospital records. Results: A total of 131 patients participated in the study, consisting of 102 males (77.9%) and 29 females (22.1%). The average age of the cohort was 57.33 ± 11.90 years. The majority of patients (93.9%, 123/131) underwent elective surgery. Severe aortic valve stenosis was the most prevalent primary pathology, affecting 58 patients (44.3%). The in-hospital mortality rate was 2.29% (3/131 patients) … Conclusion: Simultaneous aortic valve surgery and supra-commissural ascending aorta replacement at our institution is associated with excellent early postoperative outcomes, reassuring us of the effectiveness of this procedure in our practice. https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/456Aortic ValveAscending Aorta AneurismAortic Valve ReplacementAortic Valve StenosisAscending Aorta ReplacementSimultaneous Surgery
spellingShingle Selman Dumani
Ermal Likaj
Laureta Dibra
Devis Pellumbi
Alfred Ibrahimi
Stavri Llazo
Edlira Rruci
Jonela Burimi
Klodian Krakulli
Andi Kacani
Ali Refatllari
Alessia Mehmeti
Vera Beca
Elizana Petrela
Altin Veshti
Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
Albanian Journal of Trauma and Emergency Surgery
Aortic Valve
Ascending Aorta Aneurism
Aortic Valve Replacement
Aortic Valve Stenosis
Ascending Aorta Replacement
Simultaneous Surgery
title Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
title_full Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
title_fullStr Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
title_full_unstemmed Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
title_short Early Results of Simultaneous Aortic Valve and Ascending Aorta Surgery: 16-year Single-Center Experience
title_sort early results of simultaneous aortic valve and ascending aorta surgery 16 year single center experience
topic Aortic Valve
Ascending Aorta Aneurism
Aortic Valve Replacement
Aortic Valve Stenosis
Ascending Aorta Replacement
Simultaneous Surgery
url https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/456
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