Root repair with aortic ring annuloplasty using the standard approach
Language English Country Italy Media print-electronic
Document type Journal Article, Review
PubMed
33185078
DOI
10.23736/s0021-9509.20.11690-2
PII: S0021-9509.20.11690-2
Knihovny.cz E-resources
- MeSH
- Cardiac Valve Annuloplasty * adverse effects instrumentation mortality MeSH
- Aortic Aneurysm diagnostic imaging mortality physiopathology surgery MeSH
- Aortic Valve diagnostic imaging physiopathology surgery MeSH
- Aortic Valve Insufficiency diagnostic imaging mortality physiopathology surgery MeSH
- Heart Valve Prosthesis Implantation * adverse effects instrumentation mortality MeSH
- Hemodynamics MeSH
- Quality of Life MeSH
- Humans MeSH
- Recovery of Function MeSH
- Risk Factors MeSH
- Heart Valve Prosthesis MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Standardization of aortic valve repair techniques with use of a calibrated annuloplasty have led to improved long-term outcomes in dystrophic aortic insufficiency. It can also improve dissemination of techniques and rates of aortic valve repair. Dystrophic aortic insufficiency can be found in three aortic phenotypes: dilated aortic root, dilated ascending aorta and isolated aortic insufficiency. The aortic annulus is invariably dilated above 25 mm in the vast majority of cases of aortic insufficiency, regardless of whether the aorta is dilated or not. A dilated annulus is a risk factor for late failure of aortic valve repair if not addressed at the time of surgery. We perform a calibrated annuloplasty at both sub- and supra-valvular levels in order to restore the ratio of sinotubular junction and annulus. Current evidence shows aortic valve repair reduces valve-related mortality compared to prosthetic valve replacement, with an improved quality of life.
Department of Cardiac Surgery Hradec Kralove Czech Republic
Department of Cardiac Surgery Institut Mutualiste Montsouris Paris France
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