scholarly journals External or subcomissural annuloplasty in bicuspid aortic valve repair: which is better?

2021 ◽  
Author(s):  
Metesh Acharya ◽  
Hiwa Sherzad ◽  
Sven Zhen Cian Tan ◽  
Mohamad Bashir ◽  
Giovanni Mariscalco
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Recent Article ◽  
Functional Anatomy ◽  
Valvular Regurgitation ◽  
Functional Classification ◽  
Valve Repair ◽  
Increased Risk ◽  
Structural Valve Deterioration

Patients with a bicuspid aortic valve (BAV) are at increased risk of valvular regurgitation compared to their counterparts with a tri-leaflet aortic valve. There is now increasing emphasis to offer BAV repair to mitigate the risks of prosthesis-related complications, including thromboembolism, haemorrhage and endocarditis, as well as structural valve deterioration and future re-operation with conventional valve replacement, particularly in younger populations. Furthermore, over the preceding two decades, our greater understanding of the functional anatomy of the BAV, pathophysiological mechanisms of BAV insufficiency and the development of a functional classification of aortic regurgitation have significantly contributed to the evolution of aortic valve reconstructive surgery. In this commentary, we discuss a recent article from the Journal of Cardiac Surgery comparing external annuloplasty and subcommissural annuloplasty as techniques for BAV repair.

scholarly journals Functional Outcomes of Type I Bicuspid Aortic Valve Repair With Annular Stabilization: Subcommissural Annuloplasty Versus External Subannular Aortic Ring

2019 ◽  
Vol 107 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Hanjo Ko ◽  
Joseph E. Bavaria ◽  
Andreas Habertheuer ◽  
John G. Augoustides ◽  
Mary A. Siki ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Functional Outcomes ◽  
Aortic Ring ◽  
Aortic Valve Repair ◽  
Type I ◽  
Valve Repair

scholarly journals Predictors of Recurrent Aortic Insufficiency in Type I Bicuspid Aortic Valve Repair

2018 ◽  
Vol 106 (5) ◽  
pp. 1316-1324 ◽  
Author(s):  
Andreas Habertheuer ◽  
Rita Karianna Milewski ◽  
Joseph E. Bavaria ◽  
Mary Siki ◽  
Melanie Freas ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Insufficiency ◽  
Aortic Valve Repair ◽  
Type I ◽  
Valve Repair

A Regulated Trial of Bicuspid Aortic Valve Repair Supported by Geometric Ring Annuloplasty

2015 ◽  
Vol 99 (6) ◽  
pp. 2010-2016 ◽  
Author(s):  
Domenico Mazzitelli ◽  
Steffen Pfeiffer ◽  
J. Scott Rankin ◽  
Theodor Fischlein ◽  
Yeong-Hoon Choi ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Valve Repair ◽  
Valve Repair ◽  
Ring Annuloplasty

scholarly journals Fate of mild-to-moderate bicuspid aortic valve disease untreated during ascending aorta replacement

2020 ◽  
Author(s):  
Alessandro Verzini ◽  
Marta Bargagna ◽  
Guido Ascione ◽  
Alessandra Sala ◽  
Davide Carino ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Ascending Aorta ◽  
Term Survival ◽  
Kaplan Meier ◽  
Aortic Root Surgery ◽  
Increased Risk ◽  
Aorta Replacement ◽  
Ascending Aorta Replacement

Background: Bicuspid aortic valve (BAV) is the most common congenital heart defect and it is responsible for an increased risk of developing aortic valve and ascending aorta complications. In case of mild to moderate BAV disease in patients undergoing supracoronary ascending aorta replacement, it is unclear whether a concomitant aortic valve replacement should be performed. Methods: From June 2002 to January 2020, 75 patients with mild-to-moderate BAV regurgitation (± mild-to-moderate stenosis) who underwent isolated supracoronary ascending aorta replacement were retrospectively analyze. Clinical and echocardiographic follow-up was 100% complete (mean: 7.4±3.9 years, max 16.4). Kaplan Meier estimates were employed to analyze long-term survival. Cumulative incidence function for time to re-operation, recurrence of aortic regurgitation (AR)≥3+ and aortic stenosis (AS) greater than moderate, with death as competing risk, were computed. Results: There was no hospital mortality and no cardiac death occurred. Overall survival at 12 years was 97.4±2.5%, 95% CI [83.16-99.63]. At follow-up there were no cases of aortic root surgery whereas 3 patients underwent AV replacement. At 12 years the CIF of reoperation was 2.6±2.5%, 95% CI [0.20-11.53]. At follow up, AR 3+/4+ was present in 1 pt and AS greater than moderate in 3. At 12 years the CIF of AR>2+/4+ was 5.1±4.98% and of AS>moderate 6.9±3.8%. Conclusions: In our study mild to moderate regurgitation of a BAV did not significantly worse at least up to 10 years after isolated supracoronary ascending aorta replacement.

Bicuspid aortic valve repair with external or subcommissural annuloplasty—echocardiographic prospective trial

2021 ◽  
Author(s):  
Marek Jasinski ◽  
Tomasz Plonek ◽  
Radoslaw Gocol ◽  
Piotr Pysz ◽  
Damian Hudziak ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Prospective Trial ◽  
Aortic Valve Repair ◽  
Valve Repair

Abstract 349: Outcomes Among Women With Bicuspid Aortic Valve and/or Bicuspid Aortopathy During Pregnancy

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Sarina Meikle ◽  
Jenny Wu ◽  
David Bach ◽  
Marion Hofmann Bowman ◽  
Mark Norris ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Bicuspid Aortic Valve ◽  
Gestational Age ◽  
Beta Blockers ◽  
Post Partum ◽  
Inclusion Criteria ◽  
Vaginal Deliveries ◽  
Increased Risk ◽  
Aortic Dissections

Background: Bicuspid aortic valve (BAV) is associated with an increased risk of aortic dissection, but little is known about pregnancy-associated outcomes. Methods: ICD codes and a text recognition program (EMERSE) were used to identify women with BAV and pregnancy (2000-2018) at a single center. Charts were manually reviewed to confirm the diagnoses, echocardiographic data, co-morbidities, and outcomes. Inclusion criteria were congenital BAV pathology and pregnancy. Primary endpoints included expansion of aortic aneurysm and aortic dissection during pregnancy and up to 6 weeks post-partum. Results: We identified 622 women with diagnoses of BAV and pregnancy. After detailed review, 72 women (87 pregnancies) met inclusion criteria. Mean gestational age at delivery was 36.9 weeks. Ten (11.5%) patients had hypertensive disorders of pregnancy, 7 (8.0%) had gestational diabetes, and 25 (28.7%) were treated with beta-blockers. Two (2.3%) pregnancies had intra-uterine growth restriction. Vaginal deliveries occurred in 56.5% and cesarean section in 36.3%. No Type A or B aortic dissections occurred. During pregnancy, there were no significant changes in the aortic dimensions. Prior to pregnancy, 6 women had aortic measurements > 40mm (mean pre-pregnancy 40.8 ± 3.2 mm; mean post-pregnancy 42.5 ± 3.9 mm). In this higher-risk group, mean gestational age was 38.7 weeks, 4 (66.7%) had vaginal delivery, 1 (16.7%) had preeclampsia, 4 (66.7%) were treated with beta-blockers, and all breastfed. There were no delivery complications, no aortic dissections, and no maternal or fetal deaths. Conclusions: Women with BAV appear to be at relatively low risk for acute aortic dissection during pregnancy.

Bicuspid aortic valve repair in the setting of severe AR

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 514-514
Author(s):  
Ziv Beckerman ◽  
Michael O. Kayatta ◽  
LaRonica McPherson ◽  
Jose N. Binongo ◽  
Yi Lasanajak ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Valve Repair ◽  
Valve Repair

scholarly journals Commissural repositioning in bicuspid aortic valve repair with Valsalva graft

2018 ◽  
Vol 4 ◽  
pp. 70-70 ◽  
Author(s):  
Monica Contino ◽  
Andrea Mangini ◽  
Claudia Romagnoni ◽  
Carlo Antona
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Valve Repair ◽  
Valve Repair
Sign in / Sign up

Export Citation Format

Share Document