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Updated: Jul 13, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Redo valve surgery with on-pump beating heart technique.

F Cicekcioglu1, U Tutun, S Babaroglu

  • 1Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital, 06100 Sihhiye, Ankara, Turkey. fehmiege@yahoo.com

The Journal of Cardiovascular Surgery
|July 27, 2007
PubMed
Summary

Beating heart valve replacement is a safe redo surgery option for high-risk patients, showing low complication rates and no operative mortality. This technique maintains heart function during complex reoperations.

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Surgery
  • Minimally Invasive Cardiac Surgery

Background:

  • Reoperative cardiac valve surgery is increasingly common.
  • Redo valve surgery presents higher risks than primary procedures.
  • The beating heart technique offers a potential alternative to traditional cardioplegic arrest.

Purpose of the Study:

  • To evaluate the safety and efficacy of beating heart technique for mitral and aortic valve re-replacement.
  • To present immediate and mid-term outcomes of this approach in redo valve surgery patients.

Main Methods:

  • Prospective study of 26 consecutive patients undergoing redo valve surgery.
  • Utilized normothermic bypass on a beating heart without aortic cross-clamping for mitral valve procedures.

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Last Updated: Jul 13, 2026

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  • Employed retrograde coronary sinus normothermic blood perfusion during aortic valve procedures with aortic cross-clamping.

    • Main Results:

    • No operative mortality observed in 26 patients (mean age 50 years).
    • Procedures included 20 mitral, 4 aortic, and 2 double valve replacements, with 53.8% for prosthetic valve dysfunction.
    • Low complication rates: 3.8% pulmonary, 3.8% low cardiac output, 7.7% re-exploration for bleeding.

    Conclusions:

    • Normothermic on-pump beating heart valve replacement is a safe alternative to cardioplegic arrest in high-risk redo surgery.
    • This technique demonstrates lower complication and perioperative mortality rates compared to conventional surgery.
    • The beating heart approach preserves cardiac physiology throughout the procedure.