Document Detail


Principles of aortic valve repair.
MedLine Citation:
PMID:  23260436     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
During the past 15 years, important advances in the field of aortic valve repair have transformed it from an infrequent and anecdotal exercise to a feasible and attractive alternative to valve replacement in selected patients with pure aortic insufficiency. These advances include a deeper understanding of the functional anatomy of the aortic valve and pathophysiologic mechanisms of aortic insufficiency; the development of surgical techniques to restore normal geometry to the aortic root and to restore the cusp coaptation; and the development of a common terminology that can be used by all clinicians to describe the lesions, discuss repair techniques, and compare immediate and long-term outcomes after aortic valve repair. This article attempts to describe the important principles of aortic valve repair by focusing on functional anatomy, surgical techniques for cusp repair, and outcome. By analogy with mitral valve repair, we include in the term aortic valve repair not only the repair of the cusp but also the valve-sparing root replacement or any kind of functional aortic annulus stabilization.
Authors:
Gebrine El Khoury; Laurent de Kerchove
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Publication Detail:
Type:  EDITORIAL     Date:  2012-12-19
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  -     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Divisions of Cardiothoracic and Vascular Surgery, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. Electronic address: gebrine.elkhoury@uclouvain.be.
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