Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > Articles online first > The Journal of Cardiovascular Surgery 2020 Nov 13

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi PROMO
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

 

The Journal of Cardiovascular Surgery 2020 Nov 13

DOI: 10.23736/S0021-9509.20.11690-2

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Root repair with aortic ring annuloplasty using the standard approach

Pouya YOUSSEFI 1, Pavel ZACEK 2, Alain BERREBI 1, Daniel CZYTROM 1, Leila MANKOUBI 1, Milena NOGHIN 1, Jean-Luc MONIN 1, Mathieu DEBAUCHEZ 1, Emmanuel LANSAC 1

1 Department of Cardiac Surgery, Institut Mutualiste Montsouris, Paris, France; 2 Department of Cardiac Surgery, Hradec Kralove, Czech Republic


PDF


Standardisation of aortic valve repair techniques with use of a calibrated annuloplasty have led to improved long term outcomes in dystrophic aortic insufficiency. It can also improve dissemination of techniques and rates of aortic valve repair. Dystrophic aortic insufficiency can be found in three aortic phenotypes: dilated aortic root, dilated ascending aorta, and isolated aortic insufficiency. The aortic annulus is invariably dilated above 25mm in the vast majority of cases of aortic insufficiency, regardless of whether the aorta is dilated or not. A dilated annulus is a risk factor for late failure of aortic valve repair if not addressed at the time of surgery. We perform a calibrated annuloplasty at both sub- and supra-valvular levels in order to restore the ratio of sinotubular junction and annulus. Current evidence shows aortic valve repair reduces valve-related mortality compared to prosthetic valve replacement, with an improved quality of life.


KEY WORDS: Aortic insufficiency; Aneurysm; Bicuspid; Valve repair; Aortic annuloplasty; Remodeling; Valve sparing root replacement

inizio pagina