Aortic valve-sparing operations: my perspectives

被引:0
|
作者
Perri, Jennifer L. [1 ]
Chen, Edward P. [1 ]
机构
[1] Duke Univ, Med Ctr, Div Cardiovasc & Thorac Surg, Durham, NC 27708 USA
关键词
Aortic root; Aortic valve; Valve sparing; Valve repair; ROOT REPLACEMENT; 2; DECADES; EXPERIENCE; SURVIVAL; REPAIR; IMPACT;
D O I
10.1007/s12055-023-01587-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:253 / 259
页数:7
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