Composite Aortic Valve Graft Replacement

Kalkat, Maninder; Edwards, Maria-Benedicta; Taylor, K; Bonser, Robert S.

doi:10.1161/circulationaha.106.681437

Cited by 14 publications

(12 citation statements)

References 24 publications

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“…Operative mortality. For isolated aortic valve disease without specific root pathology, using these 3 types of PHV that require aortic root replacement is associated with a higher operative mortality (9,20,21). Yacoub et al (22), using selected low-risk patients (age Ͼ16 years) from Harefield Hospital in the United Kingdom and Rotterdam, the Netherlands, reported a low operative mortality with the Ross principle.…”

Section: Biological Phvs That Require Aortic Root Replacementmentioning

confidence: 99%

Choice of Prosthetic Heart Valve in Adults

Rahimtoola

2010

Journal of the American College of Cardiology

330

234

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In the last 7 years, more data have reconfirmed that patients' comorbid conditions are very important factors determining patient outcomes. Prosthetic heart valves (PHVs) that require aortic root replacement in the absence of aortic root disease are associated with poorer outcomes. For the vast majority of patients, the choice of PHV is between a mechanical valve and a stented bioprosthesis. The choice is largely dependent upon the age of the patient at the time of PHV implantation and on which complication the patient wants to avoid: specifically, anticoagulation therapy and its complications with the mechanical valve, and structural valve deterioration with a bioprosthesis. Data on the pros and cons of the choices and exceptions to the rules are discussed, and a new algorithm is developed.

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Section: Biological Phvs That Require Aortic Root Replacementmentioning

confidence: 99%

Choice of Prosthetic Heart Valve in Adults

Rahimtoola

2010

Journal of the American College of Cardiology

330

234

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“…This technique has been described by Bentall andDebono in 1968 (Bentall H, 1968) and it has led to increased life expectancy for patients with Marfan syndrome. In spite of initial mortality risk is higher, long term survival has been found similar to aortic valve replacement in patients with composite mechanical valve-graft conduit aortic root replacement (Kalkat, 2007). Homografts and conduits consisting of a stented or stentless xenograft valve may be the choice especially in elderly or in patients with endocarditis.…”

Section: Comorbiditiesmentioning

confidence: 99%

Which Valve to Who: Prosthetic Valve Selection for Aortic Valve Surgery

Inan¹,

Saçar²,

Önem³

et al. 2011

Aortic Valve Surgery

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“…Increased mortality with composite AV and root replacement (CVG). From 1986 to 2004, 122,971 patients in the U.K. Heart Valve Registry were identified (73). The operative mortality with CVG was greater than with AVR alone during the entire time period.…”

Section: Role Of Avr In Septuagenarian's Quality Of Life (Qol)mentioning

confidence: 99%