Valve-sparing aortic root reconstruction

Abstract

This paper reviews the current main approaches to valve-sparing aortic root reconstruction. The advantages of valve-sparing surgeries are obvious - low mortality, longer survival, better quality of life of the operated patients, since the techniques save the heart's pumping reserves and free the patient from continuous intake of direct-acting oral anticoagulants and laboratory control of the hemostasis system, as well as other prosthesis-associated specific complications.

Acquired Aortic Valve Diseases (Current Status of the Problem)

“…Therefore, the preferential performance of prosthetic aortic valves rather than plastic reconstructive interventions during these periods is explained. But, the trend towards the implementation of valve-saving technologies is especially noticeable in recent decades, when the development of a number of plastic interventions on aortic valves began [15][16][17][18]. It is appropriate to bring plastic surgeries, such as "Open valvuloplasty of the aortic valves" with stenosis, or preferential preservation of the structure of the valve, without gross morphological changes (calcification, gross fibrosis, etc.).…”

“…Known special holding device for the formation and simultaneous plastics of the aortic valve leaflets (MAAZOUZI APS AORTIC PLASTY-SIZER). In the work of A.S. Nesmachny describes in detail the technique of using the device in clinical practice [7,16,19].…”