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Review
. 2018 Mar 30:4:60.
doi: 10.21037/jovs.2018.01.13. eCollection 2018.

Aortic valve insufficiency in aortic root aneurysms: consider every valve for repair

Talal Al-Atassi  1 , Munir Boodhwani  1
Affiliations
Review

Aortic valve insufficiency in aortic root aneurysms: consider every valve for repair

Talal Al-Atassi et al. J Vis Surg. .

Abstract

Aortic valve (AV) preservation and repair is emerging as an attractive alternative to AV replacement in younger patients with aortic insufficiency (AI) and aortic root aneurysms. AV repair mitigates some of the risks associated with prosthetic valves. More centers are reporting the safety of AV preservation and repair and favorable short- and long-term outcomes. However, further work is needed to improve long-term repair durability and dissemination of knowledge and technique to make AV repair the gold standard in this patient population.

Keywords: Aortic valve repair; aortic insufficiency (AI); aortic root aneurysm; bicuspid aortic valve (BAV); valve sparing.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Repair-oriented functional classification of aortic insufficiency (AI) with description of disease mechanisms and repair techniques used. Non-shaded columns are the focus of this review. FAA, functional aortic annulus; STJ, sinotubular junction; SCA, subcommissural annuloplasty; VSRR, valve sparing root replacement.
Figure 2
Figure 2
Valve sparing root replacement using the reimplantation technique to repair type IB aortic insufficiency (21). Available online: http://www.asvide.com/article/view/23548
Figure 3
Figure 3
Cusp repairs including cusp free margin plication and resuspension for type II aortic insufficiency and calcium shaving for type III aortic insufficiency (26). Available online: http://www.asvide.com/article/view/23550
See this image and copyright information in PMC

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