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Aortic Valve Sparing in Different Aortic Valve and Aortic Root Conditions.

Abstract：

:The development of aortic valve-sparing operations (reimplantation of the aortic valve and remodeling of the aortic root) expanded the surgical armamentarium for treating patients with aortic root dilation caused by a variety of disorders. Young adults with aortic root aneurysms associated with genetic syndromes are ideal candidates for reimplantation of the aortic valve, and the long-term results have been excellent. Incompetent bicuspid aortic valves with dilated aortic annuli are also satisfactorily treated with the same type of operation. Older patients with ascending aortic aneurysm and aortic insufficiency secondary to dilated sinotubular junction and a normal aortic annulus can be treated with remodeling of the aortic root or with reimplantation of the aortic valve. The first procedure is simpler, and both procedures are likely equally effective. As with any heart valve-preserving procedure, patient selection and surgical expertise are keys to successful and durable repairs.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

David TE

doi

10.1016/j.jacc.2016.04.062

subject

Has Abstract

pub_date

2016-08-09 00:00:00

pages

654-664

issue

6

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(16)33360-5

journal_volume

68

pub_type

杂志文章,评审

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