Aortic valve bypass for the high-risk patient with aortic stenosis

The Annals of Thoracic Surgery
James S GammieBartley P Griffith

Abstract

Interest in percutaneous therapy of heart valve disease has focused attention on the high-risk patient with aortic stenosis. Aortic valve bypass (apicoaortic conduit) surgery is the construction of a vascular graft containing a bioprosthetic valve from the apex of the left ventricle to the descending thoracic aorta. We have undertaken a programmatic effort to perform aortic valve bypass surgery as an alternative to conventional aortic valve replacement in selected high-risk patients, and now report our recent experience. Between April 2003 and May 2005, 14 patients with aortic stenosis underwent aortic valve bypass surgery at two institutions. All patients selected for aortic valve bypass surgery were deemed to be at very high risk for conventional aortic valve replacement. These patients represented 14 (5.8%) of all 243 patients undergoing isolated aortic valve surgery during the same time period. Mean Society of Thoracic Surgeons predicted risk for operative mortality (11%) was between the 90th and 95th percentile. Twelve of 14 patients had previous cardiac surgery with patent bypass grafts. Average age was 78 years. Mean aortic valve area was 0.68 cm2. All operations were performed through a left thoracotomy on the beating h...Continue Reading

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Citations

Jul 21, 2006·The International Journal of Cardiovascular Imaging·Charles S WhiteJames S Gammie
Oct 17, 2007·General Thoracic and Cardiovascular Surgery·Katsuhiko MatsuyamaYuichi Ueda
Jan 12, 2013·Interactive Cardiovascular and Thoracic Surgery·Oliver ReuthebuchFriedrich Eckstein
Jun 21, 2013·Interactive Cardiovascular and Thoracic Surgery·Georgios Dimitrakakis, Peter A O'Keefe
Mar 23, 2012·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Nikolaos Tsirikos KarapanosRichard C Daly
Nov 24, 2011·Interactive Cardiovascular and Thoracic Surgery·Satoru DomotoYoshimasa Seike
Sep 15, 2015·The Annals of Thoracic Surgery·John W BrownJoel Corvera
Oct 7, 2015·Journal of Cardiac Surgery·Walid K Abu SalehBasel Ramlawi
Oct 1, 2011·The Annals of Thoracic Surgery·Craig E StaufferJames S Gammie
Jul 5, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Patrick OdonkorAlina M Grigore
Apr 13, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Brian WhangRamachandra C Reddy
Feb 24, 2009·The Annals of Thoracic Surgery·Cyrus J ParsaG Chad Hughes
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Elias BalarasJames S Gammie
Jun 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Atsuo DoiMasaharu Hatakeyama
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Francesca di Marco, Gino Gerosa
Apr 25, 2006·The Annals of Thoracic Surgery·Patrick McCarthy
Jul 9, 2010·The Annals of Thoracic Surgery·Crystal J VliekJames S Gammie
Dec 22, 2010·The Annals of Thoracic Surgery·Vinod H ThouraniOmar M Lattouf
Feb 4, 2012·Journal of the American College of Cardiology·David R HolmesJames D Thomas
Oct 1, 2010·Journal of the Saudi Heart Association·Elsayed ElmistekawyMarc Ruel
Jul 31, 2007·Journal of Cardiac Surgery·Craig H Selzman, Brett C Sheridan
Feb 8, 2007·Current Opinion in Cardiology·Lawrence H Cohn, Narendren Narayanasamy
Apr 30, 2017·Interactive Cardiovascular and Thoracic Surgery·Koji KawahitoYoshio Misawa
Mar 9, 2021·Journal of Cardiac Surgery·Yanqiong YeXiming Qian

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