A modern approach to aortic valve insufficiency: Aortic root restoration via HAART 300 internal annuloplasty ring

2021 ◽  
Vol 36 (11) ◽  
pp. 4189-4195
Author(s):  
Nikolaos A. Papakonstantinou ◽  
Nektarios Kogerakis ◽  
Georgios Kantidakis ◽  
Georgios Athanasopoulos ◽  
Georgios T. Stavridis
Keyword(s):  
Aortic Valve ◽  
Aortic Root ◽  
Aortic Valve Insufficiency ◽  
Annuloplasty Ring ◽  
Modern Approach ◽  
Valve Insufficiency

Reported outcomes after aortic valve resuspension for acute type A aortic dissection: a systematic review and meta-analysis

2019 ◽  
Vol 29 (3) ◽  
pp. 331-338
Author(s):  
Shuang-Kun Chen ◽  
Zhi-Huang Qiu ◽  
Guan-Hua Fang ◽  
Xi-Jie Wu ◽  
Liang-Wan Chen
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Root ◽  
Meta Analysis ◽  
Type A ◽  
Acute Type ◽  
Aortic Valve Insufficiency ◽  
Type A Aortic Dissection ◽  
Valve Insufficiency

AbstractIn the majority of patients presenting with acute type A aortic dissection (AAD) complicated by aortic valve insufficiency, the aortic valve (AV) can be preserved by AV resuspension. A meta-analysis was performed to investigate the outcomes following AV resuspension for AAD. A systematic literature search for publications reporting outcomes after AV resuspension in AAD published between January 1998 and June 2018 was conducted. Early outcome events and linearized occurrence rates for late outcome events were derived. The retrieval process yielded 18 unique studies involving 3295 patients with a total of 17 532 patient-years (pt-yrs). Pooled early mortality was 15.5% [95% confidence interval (95% CI) 11.5–19.4%, I2 = 91.9%], and the linearized late mortality rate was 3.21%/pt-yrs (95% CI 2.49–3.77, I2 = 29%). The linearized occurrence rates for aortic root reintervention was 1.4%/pt-yrs (95% CI 0.88–1.79, I2 = 48%); for recurrent significant aortic valve insufficiency (>2+), it was 1.12%/pt-yrs (95% CI 0.79–1.45, I2 = 68%); and for endocarditis, it was 0.01%/pt-yrs (95% CI 0–0.04, I2 = 7%). The composite rate of thromboembolism and bleeding was 1.41%/pt-yrs (95% CI 0.18–2.63, I2 = 82%). A more recent surgical period was associated with a decreased hazard of reoperation on the aortic root (P < 0.001). Requirement of AV resuspension alone in AAD is a risk factor for mortality. The long-term durability of AV resuspension is excellent, with low rates of endocarditis and thromboembolism and bleeding. Root reoperation hazard has become acceptable in recent years. Preoperative aortic valve insufficiency grade exceeding 2+ is a predictor for root reoperation.

scholarly journals Approaches to aortic valve preservation in patients with aortic root an-eurysms and aortic insufficiency: the David procedure

2009 ◽  
Vol 15 (2) ◽  
pp. 142-145
Author(s):  
V. Uspenskiy ◽  
I. V. Sukhova ◽  
M. L. Gordeev
Keyword(s):  
Aortic Valve ◽  
Aortic Root ◽  
Aortic Insufficiency ◽  
Aortic Valve Insufficiency ◽  
Short Term ◽  
Aortic Root Aneurysm ◽  
Valve Insufficiency ◽  
The Common ◽  
Valve Sparing ◽  
Aortic Valve Reimplantation

Background. Aortic valve-sparing operations are one of the relatively new approaches for treatment of patients with aortic root aneurysm and aortic valve insufficiency, but nowadays the common treatment strategy is absent. Methods. We studied the short-term results of David I valve-sparing operations in 19 patients with aortic root aneurysms and aortic insufficiency. Results. There were no lethal cases observed. 3 patients had mild aortic regurgitation, the majority of patients had no or trace aortic insufficiency. The significant decrease of left ventricle sizes was shown. Conclusions. The David I technique of aortic valve reimplantation seems to be optimal in patients with aortic root aneurysm, aortic insufficiency and normal aortic cusps.

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