How I Teach a Valve-Sparing Root Replacement

Hospital readmission rates are similar between patients with mechanical versus bioprosthetic aortic valves

“…20 Our philosophy has been more in line with the latter as long as the patients life expectancy is likely to be more than 10 years. [27][28][29][30][31] Our results clearly indicate that with a careful multidisciplinary care team, close follow-up, and a compliant patient population, mAVR can have a bleeding risk that is similar to a bAVR without the increased risk of SVD.…”

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

“…Annular diameter is an important consideration in BAV repair as many patients with bicuspid anatomy present with dilated aortic annulus (43). Therefore, patients with BAV experience good long term results with reimplantation technique, as this approach implicitly involves deep dissection to the level of the basal plane and annular reduction with placement of subannular sutures (2,3). In the remodeling technique, addition of annuloplasty (whether internal or external) and systematic assessment of cusp effective height significantly improves durability (43,44).…”

“…Some patients will develop valvular pathology in childhood, while most develop either aortic regurgitation or stenosis in adulthood up to the seventh decade in life. Severe aortic stenosis is typically managed with valve replacement, whereas patients with aortic regurgitation may be candidates for valve repair based on anatomic classification and functionality of the valve (2)(3)(4)(5). However, a large majority of patients with aortic regurgitation undergo valve replacement because of concomitant stenosis or because of a valve that is not amenable to repair.…”

“…Valve repair in these patients is desirable to avoid the above-mentioned complications that are invariably associated with prosthetic aortic valves. Successful valve repair in patients with BAV typically requires cusp repair with concomitant annular stabilization using either reimplantation or remodeling techniques (2,8,9). The purpose of this review is to summarize the long-term outcomes of BAV repair.…”

Management of thoracic aortic graft infections

“…Mobilization of the coronary ostia can be challenging with large amounts of rind and abscess in the vicinity of the sinus segment. Mobilization of the left main coronary artery is carried out by using the right pulmonary artery as a guide . The use of bovine prostheses is also a potential option for infected grafts and has been described for repair of a mycotic innominate artery aneurysm …”