Interest of Supa-Aortic Trunks Doppler Ultrasound in Preoperative Assessment of a Valve Replacement

Fennira S, Kammoun Y, Sarray H

Abstract

Objective: The interest of ultrasound of the supra-aortic trunks (USAT) is proven in the preoperative assessment of coronary bypass grafting (CABG) but remains to be demonstrated for valve replacement (VR). Materials and methods: We counted 666 patients who benefited from USAT as part of the preoperative assessment of a CABG or VR due to rheumatic heart disease from 2010 to 2017. Results: Cardiovascular risk factors (CVRFs) were significantly more frequent (p<0.001) in patient undergoing CABG. There was a positive correlation (r=0.145) between coronary status and carotid status. Discussion: Valvular disease patients should benefit from USAT based on CVRFs, history of stroke and coronary status.

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