Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Oct 31;10(21):5140.
doi: 10.3390/jcm10215140.

Updates on the Latest Surgical Approach of the Aortic Stenosis

Lucian Geicu  1 , Olivier Busuttil  2 , Nicolas D'Ostrevy  3 , Mathieu Pernot  2 , Walid Benali  1 , Louis Labrousse  2 , Thomas Modine  2
Affiliations

Updates on the Latest Surgical Approach of the Aortic Stenosis

Lucian Geicu et al. J Clin Med. .

Abstract

Over the last twenty years, we marked significant progresses in the field of tissue engineering and the development of new aortic valve structural and delivery systems. These continuous iterations on the field, have completely changed the surgical indications and approaches for AVR. Nowadays, therapeutic decisions are endorsed by international guidelines; however, new technical advances need a new integrated approach. The clinical scenarios issued from the interaction between the Guidelines and the newest approaches and technologies are regularly on debate by the Heart Team. We will present some of our most encountered situations and the pattern of our therapeutic decisions. To easily navigate through Guidelines and clinical scenarios, we reported in this review a simplified and easy to use Clinical decision-making algorithm that may be a valuable tool in our daily practice.

Keywords: AVR; Ross procedure; TAVI; V-in-V; aortic root  enlargement; decision making algorithm; mini-invasive surgery; new valve technologies.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Priority of aortic valve substitutes for young patients.
Figure 2
Figure 2
Priority of aortic valve substitutes for middle-aged patients.
Figure 3
Figure 3
Priority of aortic valve substitutes for older patients.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Harken D.E., Taylor W.J., Lefemine A.A., Lunzer S., Low H.B., Cohen M.L., Jacobey J.A. Aortic valve replacement with a gaged ball valve. Am. J. Cardiol. 1962;9:292–299. doi: 10.1016/0002-9149(62)90047-4. - DOI - PubMed
    1. Jørgensen T.H., Thyregod H.G.H., Ihlemann N., Nissen H., Petursson P., Kjeldsen B.J., Steinbrüchel D.A., Olsen P.S., Søndergaard L. Eight-year outcomes for patients with aortic valve stenosis at low surgical risk randomized to transcatheter vs. surgical aortic valve replacement. Eur. Heart J. 2021;42:2912–2919. doi: 10.1093/eurheartj/ehab375. - DOI - PMC - PubMed
    1. Bourguignon T., Bouquiaux-Stablo A.-L., Candolfi P., Mirza A., Loardi C., May M.-A., El-Khoury R., Marchand M., Aupart M. Very Long-Term Outcomes of the Carpentier-Edwards Perimount Valve in Aortic Position. Ann. Thorac. Surg. 2015;99:831–837. doi: 10.1016/j.athoracsur.2014.09.030. - DOI - PubMed
    1. Forcillo J., El Hamamsy I., Stevens L.-M., Badrudin D., Pellerin M., Perrault L.P., Cartier R., Bouchard D., Carrier M., Demers P. The Perimount Valve in the Aortic Position: Twenty-Year Experience With Patients Under 60 Years Old. Ann. Thorac. Surg. 2014;97:1526–1532. doi: 10.1016/j.athoracsur.2014.02.019. - DOI - PubMed
    1. Otto C.M., Nishimura R.A., Bonow R.O., Carabello B.A., Erwin J.P., Gentile F., Jneid H., Krieger E.V., Mack M., McLeod C., et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021;143 doi: 10.1161/cir.0000000000000923. - DOI - PubMed

LinkOut - more resources