Presentation is loading. Please wait.

Presentation is loading. Please wait.

Aortic Valve Repair: The Functional Approach to Leaflet Prolapse and Valve-Sparing Surgery  Hugues Jeanmart, MD, Laurent de Kerchove, MD, David Glineur,

Published byAapo Laine Modified over 6 years ago

Similar presentations

Presentation on theme: "Aortic Valve Repair: The Functional Approach to Leaflet Prolapse and Valve-Sparing Surgery  Hugues Jeanmart, MD, Laurent de Kerchove, MD, David Glineur,"— Presentation transcript:

1 Aortic Valve Repair: The Functional Approach to Leaflet Prolapse and Valve-Sparing Surgery 
Hugues Jeanmart, MD, Laurent de Kerchove, MD, David Glineur, MD, Jean-Michel Goffinet, MD, Ishan Rougui, MD, Michel Van Dyck, MD, Philippe Noirhomme, MD, Gebrin El Khoury, MD  The Annals of Thoracic Surgery  Volume 83, Issue 2, Pages S746-S751 (February 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 This schematic representation of the aortic root shows its external limitations. The dissection of the aortic wall must continue to the base of implantation of the noncoronary leaflet (NC). At the level of the left and right sinuses, the dissection is limited by the presence of the right ventricular outflow tract (RVOT). A deeper dissection at this portion is a risk for ventricular perforation. The Annals of Thoracic Surgery  , S746-S751DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The proximal line of suture reinforced with Teflon felt (arrow) has to follow the external limitation of the aortic root. (NC = noncoronary; LC = left coronary leaflet; RC = right coronary leaflet.) The Annals of Thoracic Surgery  , S746-S751DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 After measuring the height of the new sinotubular junction, the prosthesis is cut to respect the anatomy of the aortoventricular junction. (NC = noncoronary; RVOT, right ventricular outflow tract.) The Annals of Thoracic Surgery  , S746-S751DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (a) Kaplan-Meier overall actuarial survival. (b) Kaplan-Meier curve for freedom from recurrence of aortic regurgitation exceeding grade 2 or stenosis (including early and late recurrences). (c) Kaplan-Meier curve for freedom from mitral valve reoperation (including early and late reoperations). (Solid line, all population; dashed line, remodeling; dotted line, reimplantation, dash-dot line, aortic valve [AV] sparing with AV repair.) The Annals of Thoracic Surgery  , S746-S751DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Aortic Valve Repair: The Functional Approach to Leaflet Prolapse and Valve-Sparing Surgery  Hugues Jeanmart, MD, Laurent de Kerchove, MD, David Glineur,"

Similar presentations

Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation  Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS,

Late Surgical Explantation and Aortic Valve Replacement After Transcatheter Aortic Valve Implantation  Louis W. Wang, MBBS, MM, Emily K. Granger, MBBS,
Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Leo M. Gazoni, MD, Lynn M. Fedoruk, MD, John A. Kern, MD, John M

Leo M. Gazoni, MD, Lynn M. Fedoruk, MD, John A. Kern, MD, John M
Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.
Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes  Munir Boodhwani, MD, MMSc, Laurent de Kerchove,

Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes  Munir Boodhwani, MD, MMSc, Laurent de Kerchove,
Extending the Scope of Mitral Valve Repair in Rheumatic Disease

Extending the Scope of Mitral Valve Repair in Rheumatic Disease
Surgically Corrected Mitral Regurgitation During Left Ventricular Assist Device Implantation Is Associated With Low Recurrence Rate and Improved Midterm.

Surgically Corrected Mitral Regurgitation During Left Ventricular Assist Device Implantation Is Associated With Low Recurrence Rate and Improved Midterm.
Sreekumar Subramanian, MD, Sergey Leontyev, MD, Michael A

Sreekumar Subramanian, MD, Sergey Leontyev, MD, Michael A
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,

Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,
Jiro Esaki, MD, PhD, Bradley G. Leshnower, MD, Jose N

Jiro Esaki, MD, PhD, Bradley G. Leshnower, MD, Jose N
Early Results of Valve-Sparing Reimplantation Procedure Using the Valsalva Conduit: A Multicenter Study  Davide Pacini, MD, Fabrizio Settepani, MD, Ruggero.

Early Results of Valve-Sparing Reimplantation Procedure Using the Valsalva Conduit: A Multicenter Study  Davide Pacini, MD, Fabrizio Settepani, MD, Ruggero.
Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD 

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD 
Aortic Valve Periprosthetic Leakage: Anatomic Observations and Surgical Results  Giuseppe De Cicco, MD, Roberto Lorusso, MD, PhD, Andrea Colli, MD, Francesco.

Aortic Valve Periprosthetic Leakage: Anatomic Observations and Surgical Results  Giuseppe De Cicco, MD, Roberto Lorusso, MD, PhD, Andrea Colli, MD, Francesco.
Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.
Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes  Amine Mazine, MD, Michel Pellerin, MD, Jean-Sébastien.

Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes  Amine Mazine, MD, Michel Pellerin, MD, Jean-Sébastien.
Surgical Anatomy of the Aortic Annulus: Landmarks for External Annuloplasty in Aortic Valve Repair  Nizar Khelil, MD, Ghassan Sleilaty, MD, Michele Palladino,

Surgical Anatomy of the Aortic Annulus: Landmarks for External Annuloplasty in Aortic Valve Repair  Nizar Khelil, MD, Ghassan Sleilaty, MD, Michele Palladino,
Management of High-Risk Patients With Aortic Stenosis and Coronary Artery Disease  Daniel Wendt, MD, Philipp Kahlert, MD, Tim Lenze, Markus Neuhäuser,

Management of High-Risk Patients With Aortic Stenosis and Coronary Artery Disease  Daniel Wendt, MD, Philipp Kahlert, MD, Tim Lenze, Markus Neuhäuser,
Mitral Valve Repair Is Durable in Patients With Rheumatoid Arthritis

Mitral Valve Repair Is Durable in Patients With Rheumatoid Arthritis
Does Prior Coronary Bypass Surgery Present a Unique Risk for Reoperative Valve Surgery?  Andrew Breglio, BS, Anelechi Anyanwu, MD, Shinobu Itagaki, MD,

Does Prior Coronary Bypass Surgery Present a Unique Risk for Reoperative Valve Surgery?  Andrew Breglio, BS, Anelechi Anyanwu, MD, Shinobu Itagaki, MD,

Similar presentations

Ads by Google