Progress in Valve-sparing Aortic Root Replacement_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Weidan , WANG Wei

1. Guangzhou Women and Children’s Medical Center, Guangzhou Medical College, Guangzhou 510070, P. R. China;;
2. Department of Cardiovascular Surgery, Fu Wai Hospital, Chinese Academy of Medical Sciences &;
Peking Union Medical College, Beijing 100037, P. R. China;

Corresponding author：

Keywords：

Valve-sparing aortic root replacement; Aortic root aneurysm; David procedure

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Abstract： Replacement of the aortic valve and aortic root has been the standard surgical strategy for patients with aortic root aneurysm for many years. Along with the increasing knowledge about the aortic root anatomy and physiology, and complications after aortic valve replacement, the technique of valve-sparing aortic root replacement has developed greatly. We focus on the etiology and classification aortic valve insufficiency, the valve-sparing techniques and clinical outcomes of valve-sparing aortic root replacement in this review.

Citation： CHEN Weidan,WANG Wei. Progress in Valve-sparing Aortic Root Replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(2): 189-192. doi: Copy

1.	David TE, Feindel CM, Bos J. Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm. J Thorac Cardiovasc Surg, 1995, 109（2）：345-352.
2.	David TE. Surgery of the aortic valv. Curr Probl Surg,1999,36（6）：426-501.
3.	El Khoury G, Glineur D, Rubay J, et al. Functional classification of aortic root/valve abnormalities and their correlation with etiologies and surgical procedures. Curr Opin Cardiol, 2005, 20（2）：115-121.
4.	Fagan A, Pillai R, Radley-Smith R, et al. Results of new valve conserving operation for treatment of aneurysms or acute dissection of aortic root. Br Heart J, 1983, 49：302.
5.	David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg,1992,103（4）：617-622.
6.	Hopkins RA. Aortic valve leaflet sparing and salvage surgery： evolution of techniques for aortic root reconstruction. Eur J Cardiothorac Surg, 2003, 24（6）：886-897.
7.	Lansac E, Di Centa I, Bonnet N, et al. Aortic prosthetic ring annuloplasty： a useful adjunct to a standardized aortic valve-sparing procedure? Eur J Cardiothorac Surg, 2006, 29（4）：537-544.
8.	de Oliveira NC, David TE, Ivanov J, et al. Results of surgery for aortic root aneurysm in patients with Marfan syndrome. J Thorac Cardiovasc Surg, 2003, 125（4）：789-796.
9.	Aybek T, Sotiriou M, Wohleke T, et al. Valve opening and closing dynamics after different aortic valve-sparing operations. J Heart Valve Dis, 2005, 14（1）：114-120.
10.	Robicsek F, Thubrikar MJ, Fokin AA. Cause of degenerative disease of the trileaflet aortic valve： review of subject and presentation of a new theory. Ann Thorac Surg, 2002, 73（4）：1346-1354.
11.	Cochran RP, Kunzelman KS, Eddy AC, et al. Modified conduit preparation creates a pseudosinus in an aortic valve-sparing procedure for aneurysm of the ascending aorta. J Thorac Cardiovasc Surg, 1995, 109（6）：1049-1058.
12.	David TE, Armstrong S, Ivanov J, et al. Results of aortic valve-sparing operations. J Thorac Cardiovasc Surg, 2001, 122（1）：39-46.
13.	Miller DC. Valve-sparing aortic root replacement in patients with the Marfan syndrom. J Thorac Cardiovasc Surg,2003,125（4）：773-778.
14.	De Paulis R, Bassano C, Bertoldo F, et al. Aortic valve-sparing operations and aortic root replacement. J Cardiovasc Med （Hagerstown）, 2007, 8（2）：97-101.
15.	Gleason TG. Current perspective on aortic valve repair and valve-sparing aortic root replacement. Semin Thorac Cardiovasc Surg, 2006, 18（2）：154-164.
16.	David TE , Feindel CM , Webb GD , et al. Long-term results of aortic valve-sparing operations for aortic root aneurysm. J Thorac Cardiovasc Surg, 2006, 132（2）：347-354.
17.	David TE, Armstrong S, Maganti M, et al. Long-term results of aortic valve-sparing operations in patients with Marfan syndrome. J Thorac Cardiovasc Surg, 2009, 138（4）：859-864.
18.	Kallenbach K, Hagl C, Walles T, et al. Results of valve-sparing aortic root reconstruction in 158 consecutive patients. Ann Thorac Surg, 2002, 74（6）：2026-2033.
19.	Birks EJ, Webb C, Child A, et al. Early and long-term results of a valve-sparing operation for Marfan syndrome. Circulation, 1999, 100（19 Suppl）：Ⅱ29-I35.
20.	Kallenbach K, Baraki H, Khaladj N, et al. Aortic valve-sparing operation in Marfan syndrome： what do we know after a decade? Ann Thorac Surg, 2007, 83（2）：S764-790.
21.	Settepani F, Szeto W Y, Pacini D, et al. Reimplantation valve-sparing aortic root replacement in Marfan syndrome using the Valsalva conduit： an intercontinental multicenter study. Ann Thorac Surg, 2007, 83（2）：S769-S790.
22.	Aicher D, Langer F, Lausberg H, et al. Aortic root remodeling： ten-year experience with 274 patients. J Thorac Cardiovasc Surg, 2007, 134（4）：909-915.
23.	Badiu C C, Eichinger W, Bleiziffer S, et al. Should root replacement with aortic valve-sparing be offered to patients with bicuspid valves or severe aortic regurgitation? Eur J Cardiothorac Surg, 2010, 38（5）：515-522.
24.	Pacini D, Settepani F, De Paulis R, et al. Early results of valve-sparing reimplantation procedure using the Valsalva conduit： a multicenter study. Ann Thorac Surg, 2006, 82（3）：865-872.
25.	Pethig K, Milz A, Hagl C, et al. Aortic valve reimplantation in ascending aortic aneurysm： risk factors for early valve failure. Ann Thorac Surg, 2002, 73（1）：29-33.

1. 　David TE, Feindel CM, Bos J. Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm. J Thorac Cardiovasc Surg, 1995, 109（2）：345-352.
2. 　David TE. Surgery of the aortic valv. Curr Probl Surg,1999,36（6）：426-501.
3. 　El Khoury G, Glineur D, Rubay J, et al. Functional classification of aortic root/valve abnormalities and their correlation with etiologies and surgical procedures. Curr Opin Cardiol, 2005, 20（2）：115-121.
4. 　Fagan A, Pillai R, Radley-Smith R, et al. Results of new valve conserving operation for treatment of aneurysms or acute dissection of aortic root. Br Heart J, 1983, 49：302.
5. 　David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg,1992,103（4）：617-622.
6. 　Hopkins RA. Aortic valve leaflet sparing and salvage surgery： evolution of techniques for aortic root reconstruction. Eur J Cardiothorac Surg, 2003, 24（6）：886-897.
7. 　Lansac E, Di Centa I, Bonnet N, et al. Aortic prosthetic ring annuloplasty： a useful adjunct to a standardized aortic valve-sparing procedure? Eur J Cardiothorac Surg, 2006, 29（4）：537-544.
8. 　de Oliveira NC, David TE, Ivanov J, et al. Results of surgery for aortic root aneurysm in patients with Marfan syndrome. J Thorac Cardiovasc Surg, 2003, 125（4）：789-796.
9. 　Aybek T, Sotiriou M, Wohleke T, et al. Valve opening and closing dynamics after different aortic valve-sparing operations. J Heart Valve Dis, 2005, 14（1）：114-120.
10. 　Robicsek F, Thubrikar MJ, Fokin AA. Cause of degenerative disease of the trileaflet aortic valve： review of subject and presentation of a new theory. Ann Thorac Surg, 2002, 73（4）：1346-1354.
11. 　Cochran RP, Kunzelman KS, Eddy AC, et al. Modified conduit preparation creates a pseudosinus in an aortic valve-sparing procedure for aneurysm of the ascending aorta. J Thorac Cardiovasc Surg, 1995, 109（6）：1049-1058.
12. 　David TE, Armstrong S, Ivanov J, et al. Results of aortic valve-sparing operations. J Thorac Cardiovasc Surg, 2001, 122（1）：39-46.
13. 　Miller DC. Valve-sparing aortic root replacement in patients with the Marfan syndrom. J Thorac Cardiovasc Surg,2003,125（4）：773-778.
14. 　De Paulis R, Bassano C, Bertoldo F, et al. Aortic valve-sparing operations and aortic root replacement. J Cardiovasc Med （Hagerstown）, 2007, 8（2）：97-101.
15. 　Gleason TG. Current perspective on aortic valve repair and valve-sparing aortic root replacement. Semin Thorac Cardiovasc Surg, 2006, 18（2）：154-164.
16. 　David TE , Feindel CM , Webb GD , et al. Long-term results of aortic valve-sparing operations for aortic root aneurysm. J Thorac Cardiovasc Surg, 2006, 132（2）：347-354.
17. 　David TE, Armstrong S, Maganti M, et al. Long-term results of aortic valve-sparing operations in patients with Marfan syndrome. J Thorac Cardiovasc Surg, 2009, 138（4）：859-864.
18. 　Kallenbach K, Hagl C, Walles T, et al. Results of valve-sparing aortic root reconstruction in 158 consecutive patients. Ann Thorac Surg, 2002, 74（6）：2026-2033.
19. 　Birks EJ, Webb C, Child A, et al. Early and long-term results of a valve-sparing operation for Marfan syndrome. Circulation, 1999, 100（19 Suppl）：Ⅱ29-I35.
20. 　Kallenbach K, Baraki H, Khaladj N, et al. Aortic valve-sparing operation in Marfan syndrome： what do we know after a decade? Ann Thorac Surg, 2007, 83（2）：S764-790.
21. 　Settepani F, Szeto W Y, Pacini D, et al. Reimplantation valve-sparing aortic root replacement in Marfan syndrome using the Valsalva conduit： an intercontinental multicenter study. Ann Thorac Surg, 2007, 83（2）：S769-S790.
22. 　Aicher D, Langer F, Lausberg H, et al. Aortic root remodeling： ten-year experience with 274 patients. J Thorac Cardiovasc Surg, 2007, 134（4）：909-915.
23. 　Badiu C C, Eichinger W, Bleiziffer S, et al. Should root replacement with aortic valve-sparing be offered to patients with bicuspid valves or severe aortic regurgitation? Eur J Cardiothorac Surg, 2010, 38（5）：515-522.
24. 　Pacini D, Settepani F, De Paulis R, et al. Early results of valve-sparing reimplantation procedure using the Valsalva conduit： a multicenter study. Ann Thorac Surg, 2006, 82（3）：865-872.
25. 　Pethig K, Milz A, Hagl C, et al. Aortic valve reimplantation in ascending aortic aneurysm： risk factors for early valve failure. Ann Thorac Surg, 2002, 73（1）：29-33.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Progress in Valve-sparing Aortic Root Replacement

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