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Related Experiment Video

Updated: Jun 26, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Transapical aortic valve implantation: step by step.

Thomas Walther1, Todd Dewey, Michael A Borger

  • 1Universität Leipzig, Herzzentrum, Klinik für Herzchirurgie, Leipzig, Germany. walt@medizin.uni-leipzig.de

The Annals of Thoracic Surgery
|December 23, 2008
PubMed
Summary

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Transapical aortic valve implantation offers a minimally invasive approach for high-risk patients. This technique facilitates beating heart, off-pump aortic valve replacement with careful patient selection and imaging guidance.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Medical Technology

Background:

  • Aortic valve implantation is a critical procedure for patients with severe aortic stenosis.
  • Minimally invasive techniques are increasingly sought to reduce patient morbidity.
  • Transapical aortic valve implantation (TAVI) presents a novel option for high-risk individuals.

Purpose of the Study:

  • To describe the technical aspects of transapical aortic valve implantation.
  • To highlight the advantages of this minimally invasive approach.
  • To provide guidance on patient selection and procedural execution.

Main Methods:

  • The procedure involves antegrade implantation of a stent-based transcatheter xenograft.
  • Key steps include femoral access, mini-thoracotomy, epicardial pacing, and apical pursestring suture placement.

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Related Experiment Videos

Last Updated: Jun 26, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

  • Valve positioning is guided by fluoroscopy and echocardiography during rapid ventricular pacing.

    • Main Results:

    • Successful patient screening, focusing on aortic annulus diameter and calcification, is vital for optimal outcomes.
    • The procedure requires precise imaging for accurate valve placement.
    • Implantations are best performed in a hybrid operating theater by a multidisciplinary team.

    Conclusions:

    • Transapical aortic valve implantation is a viable minimally invasive technique.
    • Careful patient selection and advanced imaging are crucial for success.
    • This approach offers a new avenue for aortic valve replacement in high-risk patients.