The surgical correction of aortic insufficiency by circumclusion

Early results with annular support in reconstruction of the bicuspid aortic valve

“…In addition, many aspects of optimal material and placement are still unclear. 26 This was the reason for us to apply a technique of annular support similar to that proposed by Taylor and colleagues 14 and Svensson. 15 Our follow-up data confirmed the hypothesis that suture annuloplasty could reduce and stabilize the AVJ diameter without distortion of the aortic root.…”

“…The concept of treating dilatation of the AVJ in aortic valve repair is not new. 14 David and Feindel 21 created an operation that specifically addressed this aspect. It has been argued that valve reimplantation within a vascular graft would minimize valve failure; in our experience, this did not eliminate the dilated AVJ as a predictor for reoperation.…”

“…A suture annuloplasty similar to procedures described by others 14,15 was performed whenever the atrioventricular diameter exceeded 27 mm. In the initial 89 instances, a number 2 braided polyester suture (Ethibond, Ethicon, Hamburg, Germany) was used; in the subsequent 104 cases, a polytetrafluoroethylene suture was used (Gore-Tex CV-0; WL Gore and Associates, M€ unchen, Germany).…”

Deep circumferential annuloplasty as an adjunct to repair regurgitant bicuspid aortic valves with a dilated annulus

“…The first of these, the use of interrupted noncircumferential annular plication sutures, [16][17][18] has proven insufficient for treating BAV with a dilated annulus. The second technique, suture-based circumferential cerclage as proposed by Taylor 19 and modified by Schafers 20 has achieved excellent valve competence in the immediate and short-term period, but longer follow-up is needed to assess its impact on long-term repair durability.…”

Current trends in aortic valve-preserving surgery

“…The most distinct difference between mitral valvuloplasty and AVP had been the availability of annuloplasty in the former. In 1958, Taylor and colleagues 48 performed external suture annuloplasty on 11 beating hearts. However, this technique was not widely adopted due to unfavorable outcomes.…”