Interv Akut Kardiol. 2018;17(2):93-99 | DOI: 10.36290/kar.2018.044

Aortic valve repair: a standard procedure in dedicated centers

Jan Vojáček¹, Pavel Žáček¹, Jan Dominik¹, Mikita Karalko¹, Martin Tuna¹, Pavel Nedbal², Jiří Vondrák³, Jan Harrer¹

¹ Kardiochirurgická klinika, Lékařská fakulta Univerzity Karlovy v Hradci Králové, Fakultní nemocnice Hradec Králové

² Kardiologické oddělení, Krajská nemocnice Liberec, a.s.

³ Kardiologické oddělení, Nemocnice Pardubického okraje, a.s., Pardubice

Aortic valve repair and valve sparing procedures enable restoration of competence in a regurgitant aortic valve, thus avoid therisks related to valve replacement. Successful aortic valve repair requires profound understanding of static and dynamic geometryof the aortic valve and aortic root. Aortic regurgitation originates from a malposition of the aortic leaflets and is also frequentlyassociated with dilation of the aortic root and ascending aorta. The surgical techniques for aortic regurgitation have evolvedhistorically and are currently moving toward simplification and standardization. The basic principles involve morphological normalizationat the level of the basal ring, sinotubular junction, and valve leaflets. These procedures are currently supported by theEuropean guidelines (Class I), even in patients with a bicuspid aortic valve. In comparison with aortic valve replacement, they resultin better quality of life. Therefore, they should be considered to be the method of choice. Of great importance is centralizationof these procedures in dedicated centers where a cumulative experience in this surgery has been gained.

Keywords: aortic valve repair, aortic valve sparing procedure, aortic regurgitation, aortic root remodelling, aortic valve reimplantation

Published: May 1, 2018  Show citation