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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Cusp shaving for concomitant mild to moderate rheumatic aortic insufficiency
Hayrettin Tekumit1, Ali Riza Cenal, Cenk Tataroglu
1Avrupa Safak Hastanesi, Istanbul, Turkey. htekumit@yahoo.com
Journal of Cardiac Surgery
|October 31, 2009
Summary
Cusp shaving effectively repaired mild-to-moderate aortic insufficiency in cardiac surgery patients, showing significant functional improvements and a low re-operation rate.
Area of Science:
- Cardiac Surgery
- Valvular Heart Disease
- Aortic Valve Repair
Background:
- Patients undergoing cardiac operations for conditions other than aortic valve disease often present with concomitant mild-to-moderate aortic insufficiency.
- Simultaneous repair of such aortic insufficiency during the primary cardiac procedure is a clinical consideration.
Purpose of the Study:
- To evaluate the early and mid-term outcomes of aortic valve repair in patients with mild-to-moderate aortic insufficiency.
- To assess the feasibility and safety of cusp shaving as a technique for aortic valve repair in this patient cohort.
Main Methods:
- A retrospective analysis of 43 patients who underwent aortic valve repair for mild-to-moderate aortic insufficiency between January 2003 and February 2009.
- The aortic valve repair was performed concurrently with the primary cardiac procedure.
- Cardiac function was assessed pre- and post-operatively.
Main Results:
- Hospital mortality was 4.6%.
- Significant improvements were noted in aortic insufficiency severity, New York Heart Association functional class, and left atrial diameter post-repair (p < 0.001).
- Freedom from re-operation due to aortic valve pathology at five years was 90.7%.
Conclusions:
- Cusp shaving is a viable and low-risk surgical option for repairing concomitant mild-to-moderate aortic insufficiency during other cardiac operations.
- The technique demonstrates favorable early and mid-term functional results and a low rate of re-intervention.
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