Aortic Valvular Disease

2019 ◽  
pp. 385-414
Author(s):  
Eric Leo Sarin ◽  
Vinod H. Thourani
Keyword(s):  
United States ◽  
Aortic Valve ◽  
Life Expectancy ◽  
Elderly Patients ◽  
Aortic Valve Disease ◽  
The Elderly ◽  
The United States ◽  
Degenerative Disease ◽  
Valve Disease ◽  
Valvular Stenosis

Broadly speaking, pathology is categorized as being primarily related to valvular stenosis (AS) or regurgitation (AR), but a diseased valve may often exhibit both. The predilection of degenerative disease of the aortic valve, particularly stenosis, for the elderly has resulted in a steadily increasing prevalence as the population ages. As general life expectancy increases in the United States and other western countries, surgery to correct aortic valve disease will increase. As more elderly patients with more comorbidities present for surgery their intraoperative and perioperative care will become more complex. This chapter discusses ways for the practicing intensivist to facilitate identification and treatment in the immediate peri-operative period.

Aortic Valvular Disease

2015 ◽  
pp. 683-712
Author(s):  
Eric Leo Sarin ◽  
Vinod H. Thourani
Keyword(s):  
United States ◽  
Aortic Valve ◽  
Life Expectancy ◽  
Elderly Patients ◽  
Aortic Valve Disease ◽  
The Elderly ◽  
The United States ◽  
Degenerative Disease ◽  
Valve Disease ◽  
Valvular Stenosis

Broadly speaking, pathology is categorized as being primarily related to valvular stenosis (AS) or regurgitation (AR), but a diseased valve may often exhibit both. The predilection of degenerative disease of the aortic valve, particularly stenosis, for the elderly has resulted in a steadily increasing prevalence as the population ages. As general life expectancy increases in the United States and other western countries, surgery to correct aortic valve disease will increase. As more elderly patients with more comorbidities present for surgery their intraoperative and perioperative care will become more complex. This chapter discusses ways for the practicing intensivist to facilitate identification and treatment in the immediate peri-operative period.

Trends of Hospitalizations in the United States from 2000 to 2012 of Patients >60 Years With Aortic Valve Disease

2015 ◽  
Vol 116 (1) ◽  
pp. 132-141 ◽  
Author(s):  
Apurva O. Badheka ◽  
Vikas Singh ◽  
Nileshkumar J. Patel ◽  
Shilpkumar Arora ◽  
Nilay Patel ◽  
...  
Keyword(s):  
United States ◽  
Aortic Valve ◽  
Aortic Valve Disease ◽  
The United States ◽  
Valve Disease

scholarly journals Combined Replacement of Aortic Valve and Ascending Aorta—A 70-Year Evolution of Surgical Techniques

Aorta ◽  
2021 ◽  
Author(s):  
Igor Vendramin ◽  
Uberto Bortolotti ◽  
Davide Nunzio De Manna ◽  
Andrea Lechiancole ◽  
Sandro Sponga ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Elderly Patients ◽  
Aortic Valve Disease ◽  
Surgical Techniques ◽  
Ascending Aorta ◽  
Valve Disease ◽  
Long Term Results ◽  
The Past ◽  
Technical Advances

AbstractSimultaneous replacement of the ascending aorta and aortic valve has always been a challenging procedure. Introduction of composite conduits, through various ingenious procedures and their modifications, has changed the outlook of patients with aortic valve disease and ascending aorta pathology. In the past 70 years, progress of surgical techniques and prosthetic materials has allowed such patients to undergo radical procedures providing excellent early and long-term results in both young and elderly patients. This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field.

scholarly journals How to approach aortic valve disease in the elderly : a 25-year retrospective study : cardiovascular topic

2014 ◽  
Vol 25 (5) ◽  
pp. 244-248 ◽  
Author(s):  
Ebuzer Aydin ◽  
Ozge Altas Yerlikhan ◽  
Behzat Tuzun ◽  
Yucel Ozen ◽  
Sabit Sarikaya ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Aortic Valve ◽  
Aortic Valve Disease ◽  
The Elderly ◽  
Valve Disease

scholarly journals Long-Term Survival After Aortic Valve Replacement Among High-Risk Elderly Patients in the United States

Circulation ◽  
2012 ◽  
Vol 126 (13) ◽  
pp. 1621-1629 ◽  
Author(s):  
J. Matthew Brennan ◽  
Fred H. Edwards ◽  
Yue Zhao ◽  
Sean M. O'Brien ◽  
Pamela S. Douglas ◽  
...  
Keyword(s):  
United States ◽  
High Risk ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Elderly Patients ◽  
Valve Replacement ◽  
The United States ◽  
Term Survival ◽  
Long Term Survival

scholarly journals Bicuspid Aortic Valve Disease and Ascending Aortic Aneurysms: Gaps in Knowledge

2012 ◽  
Vol 2012 ◽  
pp. 1-16 ◽  
Author(s):  
Katie L. Losenno ◽  
Robert L. Goodman ◽  
Michael W. A. Chu
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Valve Disease ◽  
Aortic Aneurysms ◽  
Valve Disease ◽  
Cardiac Anomaly ◽  
Aortic Dilatation ◽  
Congenital Cardiac Anomaly ◽  
Valvular Stenosis ◽  
Ongoing Surveillance

The bicuspid aortic valve is the most common congenital cardiac anomaly in developed nations. The abnormal bicuspid morphology of the aortic valve results in valvular dysfunction and subsequent hemodynamic derangements. However, the clinical presentation of bicuspid aortic valve disease remains quite heterogeneous with patients presenting from infancy to late adulthood with variable degrees of valvular stenosis and insufficiency and associated abnormalities including aortic coarctation, hypoplastic left heart structures, and ascending aortic dilatation. Emerging evidence suggests that the heterogeneous presentation of bicuspid aortic valve phenotypes may be a more complex matter related to congenital, genetic, and/or connective tissue abnormalities. Optimal management of patients with BAV disease and associated ascending aortic aneurysms often requires a thoughtful approach, carefully assessing various risk factors of the aortic valve and the aorta and discerning individual indications for ongoing surveillance, medical management, and operative intervention. We review current concepts of anatomic classification, pathophysiology, natural history, and clinical management of bicuspid aortic valve disease with associated ascending aortic aneurysms.

Surgical Management of Aortic Valve Disease in the Elderly: A Longitudinal Analysis

1988 ◽  
Vol 46 (3) ◽  
pp. 264-269 ◽  
Author(s):  
Luis N. Bessone ◽  
Dennis F. Pupello ◽  
Stephen P. Hiro ◽  
Enrique Lopez-Cuenca ◽  
M.S. Glatterer ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Surgical Management ◽  
Longitudinal Analysis ◽  
Aortic Valve Disease ◽  
The Elderly ◽  
Valve Disease

Transcatheter aortic valve replacement

2010 ◽  
pp. 652-668
Author(s):  
John G. Webb ◽  
Fabian Nietlispach
Keyword(s):  
United States ◽  
Heart Disease ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
The Elderly ◽  
The United States ◽  
Community Based ◽  
Transcatheter Aortic Valve

Aortic stenosis (AS) is the most common valvular heart disease for which patients undergo valve replacement. Although the condition may develop in mid-life in association with a congenitally bicuspid valve, AS is for the most part a disease of the elderly, as demonstrated by a recent community-based study in the United States which reported a prevalence in those older than 75 years of age of 4.6%. Medically treated severe symptomatic AS has been associated with predictable clinical deterioration and a poor survival, reportedly averaging 2–3 years after the onset of symptoms.

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