A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium

Ozaki, Shigeyuki; Kawase, Isamu; Yamashita, Hiromasa; Uchida, Shin; Nozawa, Yukinari; Takatoh, Mikio; Hagiwara, So

doi:10.1016/j.jtcvs.2012.11.012

Cited by 181 publications

(150 citation statements)

References 23 publications

Supporting

Mentioning

134

Contrasting

Unclassified

Order By: Relevance

“…Tricuspidization provided good opening and closure of the aortic valve with excellent hemodynamics by encircling the aorta with a felt strip at the level of the commissure, which prevented future dilatation of the aorta at the commissure level. 43,44) They also showed that original aortic valve reconstruction was feasible for patients aged less than 60 years in 57 patients with bicuspid valves, and freedom from reoperation was 98.9% with 76 months of follow-up. 45) Doss et al reported similar techniques, but the report discussed whether or not repair of secondary valve lesions and small valve coaptation is possible.…”

Section: Clinical Outcomes and Durability Of Bicuspid Aortic Valve Rementioning

confidence: 98%

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

Furukawa

Tanemoto

2015

ATCS

View full text Add to dashboard Cite

IntroductionBicuspid aortic valve (BAV) is a common congenital cardiac malformation, with a reported incidence of between 0.6% and 2% in the general population. 1,2) BAV has been identified as the main cause of aortic valve disease leading to surgical treatment in children and young adults. A large pathological survey revealed that BAV could result in a stenotic lesion in 75% of patients and insufficiency in 15%. 3) Although BAV is often considered to be a benign lesion early in life, the complications associated with cardiovascular diseases, including aortic stenosis (AS), aortic insufficiency (AI), infective endocarditis (IE), and aortic dilation and dissection, can result in marked increases in morbidity and mortality later in life. [4][5][6] Understanding of aortic dilation associated with BAV has evolved with improvements in diagnostic technology and surgical management. 7) There is a growing consensus that the ascending aorta should be replaced at the time of aortic valve replacement for bicuspid aortic valve even if it is only moderately dilated. A recent study that gathered information from a total of 100 Canadian cardiac surgeons reported that surgeons' knowledge and attitudes toward BAV aortopathy influenced their surgical approaches. This large survey revealed significant gaps in the knowledge and attitudes of surgeons toward the diagnosis and management of BAV aortopathy, with approximately one third of cardiac surgeons stating that

show abstract

Section: Clinical Outcomes and Durability Of Bicuspid Aortic Valve Rementioning

confidence: 98%

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

Furukawa

Tanemoto

2015

ATCS

View full text Add to dashboard Cite

show abstract

“…Postoperative peak pressure gradients were significantly lower in the AVNeo group than in the AVR group, as reported by previous study. 2 Recently, AVNeo with glutaraldehyde-treated autologous pericardium has provided good short-and midterm results and good hemodynamics. 2 The efficacy of this technique has been demonstrated in bicuspid aortic valve and dialysis patients.…”

Section: Adult -Comparison Of Aortic Annulus Dimensionmentioning

confidence: 99%

“…2 Recently, AVNeo with glutaraldehyde-treated autologous pericardium has provided good short-and midterm results and good hemodynamics. 2 The efficacy of this technique has been demonstrated in bicuspid aortic valve and dialysis patients. 25,26 The advantages of preserving the natural aortic annulus expansion are thought to underlie the lower postoperative lower peak gradients observed with AVNeo.…”

Section: Adult -Comparison Of Aortic Annulus Dimensionmentioning

confidence: 99%

“…2 The reported method entailed the replacement of 3 cusps with glutaraldehyde-treated autologous pericardium based on the distance between the commissures of each cusp. 3 It is suitable for patients with AS and has the advantages of increasing the maximum valve orifice area and preserving the natural motion of the aortic annulus, as pericardial grafts are sewn directly to the aortic annulus.…”

Section: Introductionmentioning

confidence: 99%

“…This method thus confers lower postoperative peak pressure gradients than those conferred by AVR. 2 However, the actual change to the annulus during the cardiac cycle after AVNeo is yet to be reported. We consider evaluating this change to be of clinical importance.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Aortic Annulus Dimension After Aortic Valve Neocuspidization With Valve Replacement and Normal Valve

Yamamoto

Iino

Shintani

et al. 2017

Seminars in Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

Management Challenges in Patients Younger Than 65 Years With Severe Aortic Valve Disease

et al. 2023

View full text Add to dashboard Cite

ImportanceThe management of aortic valve disease, including aortic stenosis and aortic regurgitation (AR), in younger adult patients (age &lt;65 years) is complex, and the optimal strategy is often unclear, contingent on multiple anatomic and holistic factors.ObservationsTraditional surgical approaches carry significant considerations, including compulsory lifelong anticoagulation for patients who receive a mechanical aortic valve replacement (AVR) and the risk of structural valvular deterioration and need for subsequent valve intervention in those who receive a bioprosthetic AVR. These factors are magnified in young adults who are considering pregnancy, for whom issues of anticoagulation and valve longevity are heightened. The Ross procedure has emerged as a promising alternative; however, its adoption is limited to highly specialized centers. Valve repair is an option for selected patients with AR. These treatment options offer varying degrees of durability and are associated with different risks and complications, especially for younger adult patients. Patient-centered care from a multidisciplinary valve team allows for discussion of the optimal timing of intervention and the advantages and disadvantages of the various treatment options.Conclusions and RelevanceThe management of severe aortic valve disease in adults younger than 65 years is complex, and there are numerous considerations with each management decision. While mechanical AVR and bioprosthetic AVR have historically been the standards of care, other options are emerging for selected patients but are not yet generalizable beyond specialized surgical centers. A detailed discussion by members of the multidisciplinary heart team and the patient is an integral part of the shared decision-making process.

show abstract

A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium

Abstract: Original aortic valve reconstruction was feasible in patients with various aortic valve diseases. Long-term data will be disclosed in the future.

Cited by 181 publications

References 23 publications

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

Current Topics on Bicuspid Aortic Valve: Clinical Aspects and Surgical Management

Comparison of Aortic Annulus Dimension After Aortic Valve Neocuspidization With Valve Replacement and Normal Valve

Management Challenges in Patients Younger Than 65 Years With Severe Aortic Valve Disease

Contact Info

Product

Resources

About