Valve-sparing procedures have been established as a durable option for treatment of patients with aortic root pathology. Complex cases where aortic valve-sparing root replacement (VSRR) is applied require specific surgical techniques to ensure good outcomes. Herein, we review main concepts of VSRR and aortic valve repair. In addition, we provide three complex clinical scenarios: treatment of neo-aortic dilation after a Ross procedure, acute aortic insufficiency in a type A dissection, and chronic aortic insufficiency with a bicuspid aortic valve. Technical suggestions to achieve a safe and durable result are set forth.
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Univ Penn, Sch Med, Div Cardiac Surg, Philadelphia, PA 19104 USAUniv Penn, Sch Med, Div Cardiac Surg, Philadelphia, PA 19104 USA
Grimm, Joshua C.
Sultan, Ibrahim
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Univ Pittsburgh, Div Cardiac Surg, Med Ctr, Pittsburgh, PA 15232 USA
Univ Pittsburgh, Heart & Vasc Inst, Med Ctr, Pittsburgh, PA 15232 USAUniv Penn, Sch Med, Div Cardiac Surg, Philadelphia, PA 19104 USA
机构:
Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Oishi, Kiyotoshi
Arai, Hirokuni
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Arai, Hirokuni
Oi, Keiji
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Oi, Keiji
Nagaoka, Eiki
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Nagaoka, Eiki
Yashima, Masafumi
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Yashima, Masafumi
Fujiwara, Tatsuki
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Fujiwara, Tatsuki
Takeshita, Masashi
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan
Takeshita, Masashi
Mizuno, Tomohiro
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Tokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med & Dent Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Surg, Tokyo, Japan