14. The evolution of Aortic Valve Evaluation & Repair - Prof. Hans-Joachim Schäfers

Опубликовано: 28 Октябрь 2024
на канале: TGH Advanced Perioperative Imaging Lab
789
16

Objectives
1. Discuss the history of aortic valve repair, highlighting key challenges, landmark achievements and current obstacles to increasing access to this procedure
2. Describe the surgical geometry of the aortic valve complex and how common congenital and acquired morphological abnormalities lead to insufficiency
3. Explain the contribution of the key parameters measured in perioperative imaging to surgical decision-making

References
Anand et al. Significance of Effective Height and Mechanism of Regurgitation in Tricuspid Aortic Valve Repair. Ann Thorac Surg. 2022; S0003-4975(22)00848–7. https://doi.org/10.1016/j.athoracsur....
Schneider et al. Long-term Results of Differentiated Anatomic Reconstruction of Bicuspid Aortic Valves. JAMA Cardiol. 2020;5: 1366–1373. https://doi.org/10.1001/jamacardio.20...
Froede et al. Simplified determination of commissural orientation in bicuspid aortic valves. Eur J Cardiothorac Surg. 2020;58: 1153–1160. https://doi.org/10.1093/ejcts/ezaa230
Schneider et al. Sinus Plication to Improve Valve Configuration in Bicuspid Aortic Valve Repair-Early Results. Ann Thorac Surg. 2017;103: 580–585. https://doi.org/10.1016/j.athoracsur....
de Kerchove et al. Variability of repairable bicuspid aortic valve phenotypes: towards an anatomical and repair-oriented classification. Eur J Cardiothorac Surg. 2019; ezz033. https://doi.org/10.1093/ejcts/ezz033
Schneider et al. Suture Annuloplasty Significantly Improves the Durability of Bicuspid Aortic Valve Repair. Ann Thorac Surg. 2017;103: 504–510. https://doi.org/10.1016/j.athoracsur....
Aicher D, Kunihara T, Abou Issa O, Brittner B, Gräber S, Schäfers H-J. Valve configuration determines long-term results after repair of the bicuspid aortic valve. Circulation. 2011;123: 178–185. https://doi.org/10.1161/CIRCULATIONAH...
Marom G et al. Aortic root numeric model: annulus diameter prediction of effective height and coaptation in post-aortic valve repair. J Thorac Cardiovasc Surg. 2013;145: 406-411.e1. https://doi.org/10.1016/j.jtcvs.2012....
le Polain de Waroux et al. Functional anatomy of aortic regurgitation: accuracy, prediction of surgical repairability, and outcome implications of transesophageal echocardiography. Circulation. 2007;116: I264-269. https://doi.org/10.1161/CIRCULATIONAH...
Swanson M, Clark RE. Dimensions and geometric relationships of the human aortic valve as a function of pressure. Circ Res. 1974;35: 871–882. https://doi.org/10.1161/01.res.35.6.871
Schäfers et al. A new approach to the assessment of aortic cusp geometry. J Thorac Cardiovasc Surg. 2006;132: 436–438. https://doi.org/10.1016/j.jtcvs.2006....
Schäfers et al. Preservation of the bicuspid aortic valve. Ann Thorac Surg. 2007;83: S740-745; discussion S785-790. https://doi.org/10.1016/j.athoracsur....
Pethig et al. Aortic valve reimplantation in ascending aortic aneurysm: risk factors for early valve failure. Ann Thorac Surg. 2002;73: 29–33. https://doi.org/10.1016/s0003-4975(01...
De Kerchove et al. Free margin length and coaptation surface area in normal tricuspid aortic valve: an anatomical study. Eur J Cardiothorac Surg. 2018;53: 1040–1048. https://doi.org/10.1093/ejcts/ezx456
Duran CMG, Gometza B. Aortic Valve Reconstruction in the Young. Journal of Cardiac Surgery. 1994;9: 204–208. https://doi.org/10.1111/j.1540-8191.1...
Duran CMG. Aortic valve repair. The Asia Pacific Journal of Thoracic & Cardiovascular Surgery. 1994;3: 64–68. https://doi.org/10.1016/1324-2881(94)...
McClarty et al. Ascending aortic aneurysm haemodynamics are associated with aortic wall biomechanical properties. Eur J Cardiothorac Surg. 2022;61: 367–375. https://doi.org/10.1093/ejcts/ezab471
Sarsam MA, Yacoub M. Remodeling of the aortic valve anulus. J Thorac Cardiovasc Surg. 1993;105: 435–438. https://pubmed.ncbi.nlm.nih.gov/8445922/
Taylor WJ, Thrower WB, Black H, Harken DE. The surgical correction of aortic insufficiency by circumclusion. J Thorac Surg. 1958;35: 192-205 passim. https://pubmed.ncbi.nlm.nih.gov/13514...
Frater RW. Aortic valve insufficiency due to aortic dilatation: correction by sinus rim adjustment. Circulation. 1986;74: I136-142. https://pubmed.ncbi.nlm.nih.gov/3742771/
Duran et al. Indications and limitations of aortic valve reconstruction. Ann Thorac Surg. 1991;52: 447–453; discussion 453-454. https://doi.org/10.1016/0003-4975(91)...
Cosgrove et al. Valvuloplasty for aortic insufficiency. J Thorac Cardiovasc Surg. 1991;102: 571–576; discussion 576-577. https://pubmed.ncbi.nlm.nih.gov/1921433/


Copyright Prof. Hans-Joachim Schäfers
Released under a Creative Commons By-Attribution 4.0 License: https://creativecommons.org/licenses/...