Early failure of quadricuspid aortic valve tricuspidization due to dehiscence of approximating coronary cusps

Ohira, Suguru; Doi, Kiyoshi; Yamano, Tetsuhiro

doi:10.1007/s12574-014-0214-4

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Also, early reoperation for severe regurgitation due to dehiscence of neocusp sutures has been described. 5 The technique we describe herein is easily reproducible and allows diameter reduction of a dilated aortic root. The aortic annulus is further stabilized by aortic root reimplantation.…”

Section: Commentmentioning

confidence: 99%

Quadricuspid aortic valve: Surgical repair with aortic root reimplantation in an adult

et al. 2020

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Section: Commentmentioning

confidence: 99%

Quadricuspid aortic valve: Surgical repair with aortic root reimplantation in an adult

et al. 2020

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“…Different repair approaches have been proposed but not all have been successful [50][51][52][53]. The most reproducible corrections have consisted of the reduction of the sinotubular diameter and the conversion of the valve into a tricuspid or bicuspid design through detachment of one or two commissures [54,55].…”

Section: Quadricuspid Aortic Valvesmentioning

confidence: 99%

“…Little is known on mid-or long-term results. The lack of addressing sinotubular dilatation and design conversion have been associated with an increased probability of failure [50][51][52][53]. Likewise, little is known on specific pathologies (beyond calcification and retraction) that require replacement per se.…”

Section: Quadricuspid Aortic Valvesmentioning

confidence: 99%

Which Aortic Valve Can Be Surgically Reconstructed?

et al. 2021

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Purpose of Review Preservation or repair of the aortic valve has evolved dynamically in the past 20 years. It leads to a high freedom from valve-related complications if an adequate valve durability can be achieved; it may possibly also improve survival. To date, little structured information is available about which valves can be repaired and which should better be replaced. Recent Findings For surgical decision-making, the size of the aortic root is important and the anatomy of the aortic valve must be considered. In the presence of root aneurysm, most tricuspid and bicuspid aortic valves can be preserved. In aortic regurgitation and normal aortic dimensions, the majority of tricuspid and bicuspid aortic valves can be repaired with good long-term durability. In bicuspid aortic valves, the morphologic characteristics must be taken into consideration. Unicuspid and quadricuspid aortic valves can be repaired in selected cases. Generally, cusp calcification is a sign of a poor substrate for repair; the same is true for cusp retraction and cusp destruction due to active endocarditis. They are associated with limited valve durability. Summary Using current concepts, many non-calcified aortic valves can be repaired. Modern imaging, in particular three-dimensional transesophageal echocardiography (TEE), should be able to define repairable aortic valves with a high probability.

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“…The functional status of QAV is predominantly regurgitant (45), however, the experience with aortic valve sparing techniques in the setting of regurgitant QAV is still limited to few published case reports and no systematic reconstruction approach has been yet developed. Depending on the specific morphologic characteristics of QAV a tricuspidalization vs. bicuspidalization repair strategy has been proposed for QAV repair with a varying success (46)(47)(48).…”

Section: Qav and The Preliminary Experience With Repair Techniquesmentioning

confidence: 99%

Aortic valve repair in adult congenital heart disease

Girdauskas¹,

Petersen²,

Sachweh

et al. 2018

Cardiovasc. Diagn. Ther

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Aortic valve repair in adult congenital heart disease (ACHD) went through a major development during the last two decades to become an increasingly established treatment option in experienced heart valve repair centers. This mini-review addresses valve-sparing treatment strategies in the two most common clinical entities of patients with adult congenital aortic valve disease, namely those presenting with bicuspid (BAV) and unicuspid (UAV) aortic valve disease. Both diseases are integral components of the continuum of congenital aortic valve diseases and represent one of the most common reasons of cardiovascular morbidity in young and otherwise healthy adult patients. The review will highlight the most important advantages of aortic valve sparing procedures as compared to the conventional valve replacement strategy. New treatment aspects will be reviewed including minimally-invasive surgical approaches for aortic valve repair as well as modern protocols of enhanced perioperative recovery which will potentially improve the perioperative recovery and quality of life of the patients undergoing valve-sparing surgical procedures in the future.

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Early failure of quadricuspid aortic valve tricuspidization due to dehiscence of approximating coronary cusps

Cited by 5 publications

References 6 publications

Quadricuspid aortic valve: Surgical repair with aortic root reimplantation in an adult

Quadricuspid aortic valve: Surgical repair with aortic root reimplantation in an adult

Which Aortic Valve Can Be Surgically Reconstructed?

Aortic valve repair in adult congenital heart disease

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