Reconstruction of Bicuspid Aortic Valve With Autologous Pericardium

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

doi:10.1253/circj.cj-13-1335

Cited by 45 publications

(38 citation statements)

References 27 publications

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“…In the current study, 2 Ozaki et al report early and mid-term surgical results obtained from 102 patients with bicuspid valves (77 patients had aortic stenosis, 25 had aortic regurgitation). At the time of surgery, the mean age of the patients was 63.7±10.0 years.…”

Section: Yaku Hmentioning

confidence: 71%

Aortic Valve Reconstruction With Autologous Glutaraldehyde-Treated Pericardium

Yaku

2014

Circ J

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Section: Yaku Hmentioning

confidence: 71%

Aortic Valve Reconstruction With Autologous Glutaraldehyde-Treated Pericardium

Yaku

2014

Circ J

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“…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: 97%

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

Furukawa

Tanemoto

2015

ATCS

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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

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“…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. In a sheep model, stenting of biological valves was shown to influence cuspal calcification.…”

Section: Adult -Comparison Of Aortic Annulus Dimensionmentioning

confidence: 99%