Updates on the Latest Surgical Approach of the Aortic Stenosis

doi:10.3390/jcm10215140

. 2021 Oct 31;10(21):5140.

doi: 10.3390/jcm10215140.

Updates on the Latest Surgical Approach of the Aortic Stenosis

Lucian Geicu¹, Olivier Busuttil², Nicolas D'Ostrevy³, Mathieu Pernot², Walid Benali¹, Louis Labrousse², Thomas Modine²

Affiliations

¹ Department of Cardiac Surgery, Montreal Heart Institute, Montreal University, Montreal, QC H1T 1C8, Canada.
² Unité Médico-Chirurgicale, Hôpital Haut Lévêque, CHU de Bordeaux, CEDEX, 33604 Pessac, France.
³ Cardiac Surgery Department, CHU de Clermont Ferrand, 63003 Clermont Ferrand, France.

PMID: 34768660
PMCID: PMC8584939
DOI: 10.3390/jcm10215140

Updates on the Latest Surgical Approach of the Aortic Stenosis

Lucian Geicu et al. J Clin Med. 2021.

. 2021 Oct 31;10(21):5140.

doi: 10.3390/jcm10215140.

Authors

Lucian Geicu¹, Olivier Busuttil², Nicolas D'Ostrevy³, Mathieu Pernot², Walid Benali¹, Louis Labrousse², Thomas Modine²

Affiliations

¹ Department of Cardiac Surgery, Montreal Heart Institute, Montreal University, Montreal, QC H1T 1C8, Canada.
² Unité Médico-Chirurgicale, Hôpital Haut Lévêque, CHU de Bordeaux, CEDEX, 33604 Pessac, France.
³ Cardiac Surgery Department, CHU de Clermont Ferrand, 63003 Clermont Ferrand, France.

PMID: 34768660
PMCID: PMC8584939
DOI: 10.3390/jcm10215140

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**
Priority of aortic valve substitutes for young patients.

**Figure 2**
Priority of aortic valve substitutes for middle-aged patients.

**Figure 3**
Priority of aortic valve substitutes for older patients.

See this image and copyright information in PMC

Cited by

Aortic Valve Intervention in Patients with Aortic Stenosis and Small Annulus.
Abdalwahab A, Omari M, Alkhalil M. Abdalwahab A, et al. Rev Cardiovasc Med. 2025 Mar 24;26(3):26738. doi: 10.31083/RCM26738. eCollection 2025 Mar. Rev Cardiovasc Med. 2025. PMID: 40160595 Free PMC article. Review.
Emerging hybrid techniques in aortic valve interventions: A systematic review of integrating surgical and transcatheter approaches.
Gohil NV, Muzammil MA, Shariq A, Shahid MU, Eugène M, Haseeb M, Shukri MRA, Abbasi D, Fariha F, Suleman M. Gohil NV, et al. Int J Health Sci (Qassim). 2025 Mar-Apr;19(2):66-77. Int J Health Sci (Qassim). 2025. PMID: 40046796 Free PMC article. Review.
Early safety and mid-term clinical outcomes of technology transfer of transcatheter aortic valve implantation in patients with severe aortic valve stenosis in Vietnam: a single-center experience of 90 patients.
Nhan VT, Khoa NQ, Thuy T, Van Duong N, Van Tan N, Ngoc The TH, Vuong NL, Cong ND, Su LQ, Finkelstein A, Lafont A. Nhan VT, et al. Lancet Reg Health West Pac. 2023 Nov 4;42:100956. doi: 10.1016/j.lanwpc.2023.100956. eCollection 2024 Jan. Lancet Reg Health West Pac. 2023. PMID: 38022713 Free PMC article.

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

Full Text Sources

[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

[2] 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

[3] 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

[4] 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

[5] 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

[6] 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

[7] 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

[8] 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

[9] 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

[10] 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

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Updates on the Latest Surgical Approach of the Aortic Stenosis

Affiliations

Updates on the Latest Surgical Approach of the Aortic Stenosis

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

Related information

LinkOut - more resources

Full Text Sources