{"title":"二尖瓣主动脉瓣疾病的瓣膜保留根置换术","authors":"Parth M. Patel , Edward P. Chen","doi":"10.1053/j.optechstcvs.2022.09.004","DOIUrl":null,"url":null,"abstract":"<div><p><span><span><span>A dysfunctional bicuspid aortic valve (BAV) with associated an </span>aortic root<span> aneurysm represents complex pathology with multiple options for surgical repair. Traditionally Bentall aortic root replacement has been the gold standard to ensure a properly functioning valve and minimize the risk of recurrent root disease. Given the known disadvantages of </span></span>prosthetic valve<span> conduits with either a mechanical or bioprosthetic valve in these often young patients, there has recently been increasing interest and application of valve-sparing operations in BAV patients with aortic root enlargement. Over the pasts 15 years, our institution has been able to safely perform valve-sparing root replacement in select patients with diseased bicuspid aortic valve and root </span></span>aortopathy. The outcomes are excellent and long-term follow-up data shows 10-year freedom from aortic valve or root replacement at 96%. This success can be attributed to appropriate patient selection, sound operative technique with meticulous post-operative care as well as a lifetime post-operative follow-up strategy. Here in we describe our operative technique and key tenets to ensure optimal patient outcomes.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Valve Sparing Root Replacement in Bicuspid Aortic Valve Disease\",\"authors\":\"Parth M. Patel , Edward P. Chen\",\"doi\":\"10.1053/j.optechstcvs.2022.09.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span><span><span>A dysfunctional bicuspid aortic valve (BAV) with associated an </span>aortic root<span> aneurysm represents complex pathology with multiple options for surgical repair. Traditionally Bentall aortic root replacement has been the gold standard to ensure a properly functioning valve and minimize the risk of recurrent root disease. Given the known disadvantages of </span></span>prosthetic valve<span> conduits with either a mechanical or bioprosthetic valve in these often young patients, there has recently been increasing interest and application of valve-sparing operations in BAV patients with aortic root enlargement. Over the pasts 15 years, our institution has been able to safely perform valve-sparing root replacement in select patients with diseased bicuspid aortic valve and root </span></span>aortopathy. The outcomes are excellent and long-term follow-up data shows 10-year freedom from aortic valve or root replacement at 96%. This success can be attributed to appropriate patient selection, sound operative technique with meticulous post-operative care as well as a lifetime post-operative follow-up strategy. Here in we describe our operative technique and key tenets to ensure optimal patient outcomes.</p></div>\",\"PeriodicalId\":35965,\"journal\":{\"name\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S152229422200099X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S152229422200099X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Valve Sparing Root Replacement in Bicuspid Aortic Valve Disease
A dysfunctional bicuspid aortic valve (BAV) with associated an aortic root aneurysm represents complex pathology with multiple options for surgical repair. Traditionally Bentall aortic root replacement has been the gold standard to ensure a properly functioning valve and minimize the risk of recurrent root disease. Given the known disadvantages of prosthetic valve conduits with either a mechanical or bioprosthetic valve in these often young patients, there has recently been increasing interest and application of valve-sparing operations in BAV patients with aortic root enlargement. Over the pasts 15 years, our institution has been able to safely perform valve-sparing root replacement in select patients with diseased bicuspid aortic valve and root aortopathy. The outcomes are excellent and long-term follow-up data shows 10-year freedom from aortic valve or root replacement at 96%. This success can be attributed to appropriate patient selection, sound operative technique with meticulous post-operative care as well as a lifetime post-operative follow-up strategy. Here in we describe our operative technique and key tenets to ensure optimal patient outcomes.
期刊介绍:
Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.