Valvuloplasty for aortic insufficiency

Cosgrove, Delos M.; Rosenkranz, Eliot R.; Hendren, William G.; Bartlett, James C.; Stewart, William J.

doi:10.1016/s0022-5223(20)31429-x

Cited by 184 publications

(70 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The first internal annuloplasty technique was described by Cabrol et al (38) in 1966, as part of addressing both the annulus and the STJ using sub-and supra-commissural plication sutures. The Cabrol subcommissural annuloplasty technique was adopted by many surgeons, with initial good outcomes reported by the Duran and Cosgrove groups (39,40). However, with time, this technique has fallen out of favor due to the high rates of recurrent AI when the annulus is enlarged (34,41).…”

Section: Isolated Av Repair-restoring the Ratio Stj/ Annulusmentioning

confidence: 99%

Rationale for aortic annuloplasty to standardise aortic valve repair

Youssefi¹,

El-Hamamsy²,

Lansac³

2019

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

Available evidence shows that aortic valve repair reduces valve-related mortality and improves quality of life compared to prosthetic aortic valve replacement. One of the most important predictors of bicuspid and tricuspid aortic valve repair failure is the absence of treating a dilated aortic annulus greater than 25-28 mm. Competency of the aortic valve depends on multiple factors including the diameter of the annulus, sinotubular junction, valve cusps and commissures. Dystrophic aortic insufficiency (AI) is the commonest cause of AI in the Western world and is characterised by dilatation of the aortic annulus (≥25 mm), sinuses and/or sinotubular junction (≥30 mm). Depending on whether the sinuses of Valsalva and/or tubular ascending aorta are dilated, three phenotypes can be identified: dilated aortic root, dilated ascending aorta and isolated AI. All three phenotypes are associated with a dilated aortic annulus. Aortic annuloplasty reduces the dilated aortic annulus and improves the surface of coaptation, as in the case of mitral valve repair. In treating AI, it is also important to restore the physiological sinotubular junction/annulus ratio, which can be carried out with remodeling root repair + subvalvular annuloplasty (for dilated aortic root), tubular ascending aorta replacement + subvalvular annuloplasty (for dilated ascending aorta) and double sub-and supra-valvular annuloplasty (for isolated AI). Aortic annuloplasty is now considered an essential component of aortic valve repair and valve-sparing root surgery.

show abstract

Section: Isolated Av Repair-restoring the Ratio Stj/ Annulusmentioning

confidence: 99%

Rationale for aortic annuloplasty to standardise aortic valve repair

Youssefi¹,

El-Hamamsy²,

Lansac³

2019

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

show abstract

“…Despite the fact that those procedures were limited to a small and selected group of patients, some of them (11) already addressed annular dilatation supposedly causative for valve failure. In the early 1990s, Cosgrove and colleagues described their initial experience with isolated repair of the regurgitant aortic valve with promising short-term stability (1,12).…”

Section: Commentmentioning

confidence: 99%

Isolated aortic valve repair—how to do it and long-term results: suture annuloplasty

Schneider

Miyahara

Giebels

et al. 2019

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

“…Although aortic anuloplasty was first described by Taylor and colleagues in 1958, the techniques have not been standardized [1]. Cosgrove and colleagues described good short term outcomes for aortic valve repair for insufficiency with an internal partial anuloplasty technique according to Cabrol over 25 years ago [2]. The partial techniques have mostly been abandoned for full anuloplasty methods including modification of an internal suturing technique tied over a Hegar dilator [3], an external suturing technique favored by Schafers and colleagues [4], and several ring devices in both rigid and flexible designs positioned internally or externally [5][6][7][8].…”

Section: Invited Commentarymentioning

confidence: 99%

Invited Commentary

Roselli

2017

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Valvuloplasty for aortic insufficiency

Cited by 184 publications

References 17 publications

Rationale for aortic annuloplasty to standardise aortic valve repair

Rationale for aortic annuloplasty to standardise aortic valve repair

Isolated aortic valve repair—how to do it and long-term results: suture annuloplasty

Invited Commentary

Contact Info

Product

Resources

About