Root Stabilization of the Repaired Bicuspid Aortic Valve: Subcommissural Annuloplasty Versus Root Reimplantation

Vallabhajosyula, Prashanth; Komlo, Caroline; Szeto, Wilson Y.; Wallen, Tyler; Desai, Nimesh D.; Bavaria, Joseph E.

doi:10.1016/j.athoracsur.2013.10.071

Cited by 34 publications

(23 citation statements)

References 15 publications

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“…Deep aortic root dissection was unnecessary, and the procedure was simplified in comparison with stabilizing the annulus with an external Dacron reimplantation graft [10,11]. The major geometric remodeling produced by an internal bicuspid ring also could be more effective than a circular suture technique [20].…”

Section: Commentmentioning

confidence: 98%

“…William Osler wrote two articles in 1886 based on his autopsy studies at McGill University [4,5] and described the demographics and clinical characteristics of BAV disease with a clarity that cannot be surpassed today. Many good reviews have been written lately [1,6,7], and with the emergence of aortic valve repair with the recent emergence interest in BAVs has increased [8][9][10][11].…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

Mazzitelli

Pfeiffer

Rankin

et al. 2015

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 98%

mentioning

confidence: 99%

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

Mazzitelli

Pfeiffer

Rankin

et al. 2015

The Annals of Thoracic Surgery

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“…J. Bavaria [19] предлагает следующий алгоритм: если одиночная створка занимает более 170° клапанного кольца, комиссуры следует ориентировать на 180°; если объединенная створка занимает большую часть окружности кольца (7/12), комиссуры следует ориентиро-вать по схеме 150-210°.…”

Section: Discussionunclassified

“…[19]. Они сравнили результаты пластики ДАК в со-четании с реимплантацией по Дэвиду и субкомиссураль-ной аннулопластикой без реимплантации.…”

unclassified

David procedure with reconstruction of calcined bicuspid aortic valve

Стефанов¹,

Matyugin²,

Дандарова³

2016

Kardiol. serdechno-sosud. khir.

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“…47) A previous study reported that root stabilization with the reimplantation technique appeared to significantly improve the durability of repaired BAV over that with subcommissural annuloplasty. 48) In BAV repair, root replacement with the reimplantation technique stabilized the ventriculoaortic junction, thereby improving valve morbidity with a low gradient, and has been associated with improved outcomes. 49) In contrast, although progressive ascending aortic dilatation after AVR for BAV is well documented, progressive dilatation of nonreplaced sinuses no subsequent aortic event has occurred.…”

Section: Clinical Outcomes and Durability Of Bicuspid Aortic Valve Rementioning

confidence: 99%

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

Furukawa

Tanemoto

2015

ATCS

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IntroductionBicuspid aortic valve (BAV) is a common congenital cardiac malformation, with a reported incidence of between 0.6% and 2% in the general population. 1,2) BAV has been identified as the main cause of aortic valve disease leading to surgical treatment in children and young adults. A large pathological survey revealed that BAV could result in a stenotic lesion in 75% of patients and insufficiency in 15%. 3) Although BAV is often considered to be a benign lesion early in life, the complications associated with cardiovascular diseases, including aortic stenosis (AS), aortic insufficiency (AI), infective endocarditis (IE), and aortic dilation and dissection, can result in marked increases in morbidity and mortality later in life. [4][5][6] Understanding of aortic dilation associated with BAV has evolved with improvements in diagnostic technology and surgical management. 7) There is a growing consensus that the ascending aorta should be replaced at the time of aortic valve replacement for bicuspid aortic valve even if it is only moderately dilated. A recent study that gathered information from a total of 100 Canadian cardiac surgeons reported that surgeons' knowledge and attitudes toward BAV aortopathy influenced their surgical approaches. This large survey revealed significant gaps in the knowledge and attitudes of surgeons toward the diagnosis and management of BAV aortopathy, with approximately one third of cardiac surgeons stating that

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Root Stabilization of the Repaired Bicuspid Aortic Valve: Subcommissural Annuloplasty Versus Root Reimplantation

Cited by 34 publications

References 15 publications

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

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

David procedure with reconstruction of calcined bicuspid aortic valve

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

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