State-of-the art bicuspid aortic valve repair in 2020

被引：52
作者：
Ehrlich, Tristan [1 ]
de Kerchove, Laurent [2 ,3 ]
Vojacek, Jan [4 ]
Boodhwani, Munir [5 ]
El-Hamamsy, Ismail [6 ]
De Paulis, Ruggero [7 ]
Lansac, Emmanuel [8 ]
Bavaria, Joseph E. [9 ]
El Khoury, Gebrine [2 ,3 ]
Schaefers, Hans-Joachim [1 ]
机构：
[1] Saarland Univ, Dept Thorac & Cardiovasc Surg, Med Ctr, Homburg, Germany
[2] Catholic Univ Louvain, Pole Rech Cardiovasc, Inst Rech Expt & Clin IREC, Brussels, Belgium
[3] Clin Univ St Luc, Div Cardiothorac & Vasc Surg, Brussels, Belgium
[4] Univ Hosp Hradec Kralove, Dept Cardiac Surg, Hradec Kralove, Czech Republic
[5] Univ Ottawa, Div Cardiac Surg, Heart Inst, Ottawa, ON, Canada
[6] Mt Sinai Hosp, Dept Cardiovasc Surg, Icahn Scholl Med Mt Sinai, New York, NY 10029 USA
[7] European Hosp, Dept Cardiac Surg, Rome, Italy
[8] Inst Mutualiste Montsouris, Dept Cardiac Surg, Paris, France
[9] Univ Penn, Div Cardiac Surg, Philadelphia, PA 19104 USA
来源：
PROGRESS IN CARDIOVASCULAR DISEASES | 2020年 / 63卷 / 04期
关键词：
Bicuspid aortic valve; Aortic regurgitation; Aortic valve replacement; Aortic valve repair; LONG-TERM OUTCOMES; ROOT REPLACEMENT; SUTURE ANNULOPLASTY; SURGICAL ANATOMY; DURABILITY; DISEASE; ADULTS; REIMPLANTATION; CLASSIFICATION; CONFIGURATION;
D O I：
10.1016/j.pcad.2020.04.010
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Patients with a bicuspid aortic valve (BAV) frequently require surgical intervention for aortic regurgitation (AR) and/or aneurysm. Valve-preserving surgery and repair of regurgitant BAVs have evolved into an increasingly used alternative to replacement. Anatomic predictors of possible repair failures have been identified and solutions developed. Using current techniques most non-calcified BAVs can be preserved or repaired. Excellent repair durability and freedom from valve-related complications can be achieved if all pathologic components of aortic valve and root including annular dilatation are corrected. Anatomic variations must be addressed using tailored approaches. (c) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码：457 / 464
页数：8
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