کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2942826 | 1576981 | 2016 | 11 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Aortic Valve Sparing in Different Aortic Valve and Aortic Root Conditions Aortic Valve Sparing in Different Aortic Valve and Aortic Root Conditions](/preview/png/2942826.png)
The development of aortic valve-sparing operations (reimplantation of the aortic valve and remodeling of the aortic root) expanded the surgical armamentarium for treating patients with aortic root dilation caused by a variety of disorders. Young adults with aortic root aneurysms associated with genetic syndromes are ideal candidates for reimplantation of the aortic valve, and the long-term results have been excellent. Incompetent bicuspid aortic valves with dilated aortic annuli are also satisfactorily treated with the same type of operation. Older patients with ascending aortic aneurysm and aortic insufficiency secondary to dilated sinotubular junction and a normal aortic annulus can be treated with remodeling of the aortic root or with reimplantation of the aortic valve. The first procedure is simpler, and both procedures are likely equally effective. As with any heart valve-preserving procedure, patient selection and surgical expertise are keys to successful and durable repairs.
Journal: Journal of the American College of Cardiology - Volume 68, Issue 6, 9 August 2016, Pages 654–664