Maladies cardiovasculaires et diagnostic

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

Abstract

Fennira S, Kammoun Y, Sarray H, Msakni B and Kraiem S

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.