Valve-sparing aortic root remodeling with partial preservation of the intact native aortic sinuses

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Valve-sparing aortic root remodeling with partial preservation of the intact native aortic sinuses.

There are certain aortic root pathologies where only one or two of the aortic sinuses are diseased. We aimed to evaluate our mid-term results after a partial remodeling of the aortic root. A total of 220 patients underwent a valve-sparing operation at our institution. In 29 patients (mean age: 62+/-10 years), two (n=22) or one (n=7) native aortic sinuses were preserved. Operative indication was...

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Valve-sparing aortic root replacement.

The aortic root has a unique 3-dimensional configuration and the distinctive function of supporting the aortic valve and blood vessels. The sinuses of Valsalva are crucial to create appropriate eddy currents that are important in initiating and coordinating aortic valve closure and promoting coronary artery blood flow. Most aneurysms in the aortic root are associated with degenerative changes i...

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Aortic Root Remodeling and Valve Sparing “New-Old” Technique

Forty years ago, Bentall and De Bono [1] described a technique for composite aortic valve and root replacement with reimplantation of the coronary arteries. For many years, this operation was the only option for patients with aneurysm of the ascending aorta. In the mid 1990s Yacoub and David independently developed techniques for valve sparing approach with the goal of preserving morphologicall...

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[Aortic valve sparing in 120 patients with aortic root aneurysms].

INTRODUCTION AND OBJECTIVES Several aortic valve sparing techniques have been described for the treatment of aortic root aneurysms. We report our experience using the reimplantation technique in 120 patients. METHODS Between March 2004 and October 2010, 120 patients with aortic root aneurysms underwent David operations. Of these, 51 were diagnosed with Marfan syndrome. Mean patient age was 31...

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Aortic valve sparing operations in aortic root aneurysms: remodeling or reimplantation?

A best evidence topic was written according to a structured protocol. The question addressed was whether the reimplantation (David) technique or the remodeling (Yacoub) technique provides the optimum event free survival in patients with an aortic root aneurysm suitable for an aortic valve-sparing operation. In total, 392 papers were found using the reported search criteria, of which 14 papers p...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2009

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2009.05.036