Aortic valve repair using a differentiated surgical strategy

Circulation
F LangerHans-Joachim Schäfers

Abstract

Reconstruction of the aortic valve for aortic regurgitation (AR) remains challenging, in part because of not only cusp or root pathology but also a combination of both can be responsible for this valve dysfunction. We have systematically tailored the repair to the individual pathology of cusps and root. Between October 1995 and August 2003, aortic valve repair was performed in 282 of 493 patients undergoing surgery for AR and concomitant disease. Root dilatation was corrected by subcommissural plication (n=59), supracommissural aortic replacement (n=27), root remodeling (n=175), or valve reimplantation within a graft (n=24). Cusp prolapse was corrected by plication of the free margin (n=157) or triangular resection (n =36), cusp defects were closed with a pericardial patch (n=16). Additional procedures were arch replacement (n=114), coronary artery bypass graft (n=60) or mitral repair (n=24). All patients were followed-up (follow-up 99.6% complete), and cumulative follow-up was 8425 patient-months (mean, 33+/-27 months).Results- Eleven patients died in hospital (3.9%). Nine patients underwent reoperation for recurrent AR (3.3%). Actuarial freedom from AR grade > or =II at 5 years was 81% for isolated valve repair, 84% for isola...Continue Reading

Citations

Jul 6, 2005·Zeitschrift für Kardiologie·H-J Schäfers
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Jun 7, 2006·The Heart Surgery Forum·Davide PaciniRoberto Di Bartolomeo
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Jan 23, 2013·Heart, Lung & Circulation·Matthew D Haydock, David A Haydock
Dec 4, 2012·Seminars in Thoracic and Cardiovascular Surgery·Diana Aicher, Hans-Joachim Schäfers
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Nov 5, 2011·The Annals of Thoracic Surgery·Hiroshi TanakaYutaka Iba
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Sep 25, 2007·The Annals of Thoracic Surgery·Christian D EtzRandall B Griepp
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Mar 23, 2018·The International Journal of Cardiovascular Imaging·Hyun Jung KooDong Hyun Yang
Sep 21, 2018·Journal of Medical Ultrasonics·Takashi Kunihara
Sep 2, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hideyuki Shimizu, Ryohei Yozu
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Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Shunsuke MiyaharaHans-Joachim Schäfers
Jul 19, 2020·The Annals of Thoracic Surgery·Ahmed AttiaHans-Joachim Schäfers
Nov 24, 2020·Asian Cardiovascular & Thoracic Annals·Takashi Kunihara

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