Root repair with aortic ring annuloplasty using the standard approach.
J Cardiovasc Surg (Torino)
; 62(1): 12-18, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-33185078
ABSTRACT
Standardization of aortic valve repair techniques with use of a calibrated annuloplasty have led to improved long-term outcomes in dystrophic aortic insufficiency. It can also improve dissemination of techniques and rates of aortic valve repair. Dystrophic aortic insufficiency can be found in three aortic phenotypes dilated aortic root, dilated ascending aorta and isolated aortic insufficiency. The aortic annulus is invariably dilated above 25 mm in the vast majority of cases of aortic insufficiency, regardless of whether the aorta is dilated or not. A dilated annulus is a risk factor for late failure of aortic valve repair if not addressed at the time of surgery. We perform a calibrated annuloplasty at both sub- and supra-valvular levels in order to restore the ratio of sinotubular junction and annulus. Current evidence shows aortic valve repair reduces valve-related mortality compared to prosthetic valve replacement, with an improved quality of life.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Aórtico
/
Valva Aórtica
/
Insuficiência da Valva Aórtica
/
Implante de Prótese de Valva Cardíaca
/
Anuloplastia da Valva Cardíaca
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
J Cardiovasc Surg (Torino)
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
França