Off-pump aortic valve bypass: an alternative technique for treating severe aortic stenosis

2014 ◽  
Vol 17 (05) ◽  
pp. 143-145
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Alternative Technique ◽  
Off Pump ◽  
Aortic Valve Bypass

Treatment of Severe Aortic Stenosis: Development and Feasibility Testing of an Aortic Valve Bypass Apical Cannula

2011 ◽  
Author(s):  
Joel D. Graham ◽  
M. Keith Sharp ◽  
Steven C. Koenig ◽  
Guruprasad Giridharan ◽  
Michael A. Sobieski ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Left Ventricle ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
The Elderly ◽  
Mortality Rates ◽  
Cardiovascular Medicine ◽  
Descending Aorta ◽  
Surgical Risk ◽  
Aortic Valve Bypass

Treatment of aortic stenosis through surgical replacement has been one of the most successful advances in cardiovascular medicine (1), though use in certain patient populations, specifically in the elderly, has been associated with increased mortality rates (2). A growing alternative surgery is Aortic Valve Bypass (AVB). This therapy offers decreased surgical risk because it does not require cardiopulmonary bypass, aortic crossclamping, aortotomy, or cardioplegic cardiac arrest (3). A one-way conduit between the apex of the left ventricle and the descending aorta increases flow by reducing afterload (Fig. 1, LEFT). Systolic blood from the left ventricle is ejected via both the native stenotic aortic valve and the AVB circuit. In this feasibility study, an apical cannula was developed and tested.

Outcomes of Off-Pump Aortic Valve Bypass Surgery for the Relief of Aortic Stenosis in Adults

2011 ◽  
Vol 91 (1) ◽  
pp. 131-136 ◽  
Author(s):  
Vinod H. Thourani ◽  
W. Brent Keeling ◽  
Robert A. Guyton ◽  
Ameesh Dara ◽  
Stuart D. Hurst ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Bypass Surgery ◽  
Off Pump ◽  
Aortic Valve Bypass

The Ross-Konno Procedure as Reoperative Treatment in a Young Adult with Congenital Aortic Stenosis

2012 ◽  
Vol 15 (4) ◽  
pp. 182
Author(s):  
Fotios A. Mitropoulos ◽  
Meletios A. Kanakis ◽  
Sotiria C. Apostolopoulou ◽  
Spyridon Rammos ◽  
Constantine E. Anagnostopoulos
Keyword(s):  
Young Adult ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Severe Aortic Stenosis ◽  
Young Patients ◽  
Uneventful Recovery ◽  
Ross Procedure ◽  
Congenital Aortic Stenosis ◽  
Biological Prostheses

<p>Mechanical and biological prostheses are valid options when aortic valve replacement is necessary. The Ross procedure is also an alternative solution, especially for young patients.</p><p>We describe the case of a young patient with congenital aortic stenosis and bicuspid aortic valve who presented with dyspnea on exertion. An open commissurotomy was performed, and within 8 months the patient developed recurrent symptoms of severe aortic stenosis. He underwent redo sternotomy and a Ross-Konno procedure with an uneventful recovery.</p>

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