A Regulated Trial of Bicuspid Aortic Valve Repair Supported by Geometric Ring Annuloplasty

Mazzitelli, Domenico; Pfeiffer, Steffen; Rankin, J. Scott; Fischlein, Theodor; Choi, Yeong‐Hoon; Wahlers, Thorsten; Nöbauer, Christian; Schreiber, Christian; Lange, Rüdiger

doi:10.1016/j.athoracsur.2015.01.050

Cited by 42 publications

(53 citation statements)

References 23 publications

(32 reference statements)

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“…In the remodeling technique, addition of annuloplasty (whether internal or external) and systematic assessment of cusp effective height significantly improves durability (43,44). There are numerous annuloplasty techniques described, and while the optimal annuloplasty technique has not been compared in randomized fashion, there are ample data from cohort studies to support routine use of annuloplasty in some fashion during remodeling procedures (45).…”

Section: Discussionmentioning

confidence: 99%

Bicuspid aortic valve repair: systematic review on long-term outcomes

Arnaoutakis

Sultan

Siki

et al. 2019

Ann. Cardiothorac. Surg.

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Background: Many patients with bicuspid aortic valve (BAV) develop aortic regurgitation but are not considered for valve repair. This is partly due to limited long term data regarding repair durability. The purpose of the review is to summarize the long-term (1 year) outcomes of BAV repair. Methods: A systematic review was performed to evaluate durability and survival following BAV repair. OVID SP versions of MEDLINE and Embase were searched using 'aortic valve', 'bicuspid', 'repair', 'David' 'Yacoub', 'reimplantation' and 'remodeling'. Results: Initial search produced 770 abstracts, reduced to 92 full papers for review after excluding duplications and abstract review for relevance. Twenty-six studies met full inclusion criteria. BAV repair revealed low operative mortality, with excellent 5-year survival, and low freedom from reoperation. Differences in surgical technique between reimplantation and remodeling do not appear to confer protection against reintervention. Systematic assessment of cusp height and annular stabilization in some form do appear to favor improved long term durability. Leaflet calcification is associated with higher rates of reintervention. Conclusions: BAV repair is associated with acceptable long term survival. Ongoing standardized outcome assessments will further refine surgical techniques associated with excellent repair durability.

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Section: Discussionmentioning

confidence: 99%

Bicuspid aortic valve repair: systematic review on long-term outcomes

Arnaoutakis

Sultan

Siki

et al. 2019

Ann. Cardiothorac. Surg.

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“…Cosgrove and colleagues described good short term outcomes for aortic valve repair for insufficiency with an internal partial anuloplasty technique according to Cabrol over 25 years ago [2]. The partial techniques have mostly been abandoned for full anuloplasty methods including modification of an internal suturing technique tied over a Hegar dilator [3], an external suturing technique favored by Schafers and colleagues [4], and several ring devices in both rigid and flexible designs positioned internally or externally [5][6][7][8].…”

Section: Invited Commentarymentioning

confidence: 99%

Invited Commentary

Roselli

2017

The Annals of Thoracic Surgery

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“…Moreover, the HAART 200 ring reconfigures the location of the commissures of an insufficient bicuspid aortic valve to the 50/50 position, which significantly facilitates cusp correction and, as a result, comprehensive valve repair [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

First uses of HAART 300 rings for aortic valve repair in Poland – 4 case studies

Juściński

Koprowski

Kołaczkowska

et al. 2018

kitp

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IntroductionAortic valve reconstructions using geometric annuloplasty rings HAART 300/200 open new era in aortic valve surgery. The HAART technology resizes, reshapes, stabilizes and simplifies aortic valve repair. The HAART aortic repair rings are designed to be implanted directly into aortic annulus (under aortic valve leaflets).AimWe present first in Poland 4 cases of aortic valve reconstructions using geometric annuloplasty rings HAART 300.Material and methodsTwo patients had type IA aortic insufficiency (due to El-Khoury classification) – they were treated by HAART 300 ring insertion and ascending aorta prosthesis implantation. Third patient, Marfan with type IB aortic insufficiency was repaired by HAART 300 ring implantation followed by remodeling (Yacoub) procedure. Fourth patient with type II aortic insufficiency (due to RCC prolapse) was repaired by HAART 300 implantation and cusp plication.ResultsAll patients shows good results on 6 months postoperative 3D TTE examinations.ConclusionsPresented technique is reproducible and simplify aortic valve reconstructions.

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A Regulated Trial of Bicuspid Aortic Valve Repair Supported by Geometric Ring Annuloplasty

Cited by 42 publications

References 23 publications

Bicuspid aortic valve repair: systematic review on long-term outcomes

Bicuspid aortic valve repair: systematic review on long-term outcomes

Invited Commentary

First uses of HAART 300 rings for aortic valve repair in Poland – 4 case studies

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