Reimplantation valve-sparing aortic root replacement with the Valsalva graft: what have we learnt after 100 cases?
Objectives: Reimplantation valve-sparing aortic root replacement has been increasingly performed with improving perioperative and mid-term results. The success of this operation primarily depends on preserving the highly sophisticated dynamic function of the aortic valve by recreating an anatomical three-dimensional configuration similar to the normal aortic root, thus minimizing the mechanical stress and strain on the cusps. Over the years several techniques have been proposed to reproduce the sinuses of Valsalva. We reviewed our experience with aortic valve reimplantation by means of a modified Dacron graft that incorporates sinuses of Valsalva, in a series of 100 consecutive patients. Methods: During a 60-month period, 100 patients with aortic root aneurysm underwent aortic valve reimplantation using the Gelweave ValsalvaTM prosthesis. There were 74 males and the mean age was 60±12 years (range 28–83 years). Five patients had the Marfan’s syndrome, 15 had a bicuspid aortic valve. Cu
Related Questions
- Should coronary artery bypass graft surgery patients with mild or moderate aortic stenosis undergo concomitant aortic valve replacement?
- Should root replacement with aortic valve-sparing be offered to patients with bicuspid valves or severe aortic regurgitation?
- Does anyone have ay experienceor know someone who has had an aortic rote replacement heart surgery?
