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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Contemporary results for isolated aortic valve surgery

M Gaudino1, A Anselmi, F Glieca

  • 1Division of Cardiac Surgery, Catholic University, Rome, Italy. mgaudino@tiscali.it

The Thoracic and Cardiovascular Surgeon
|March 17, 2011
PubMed

Insights

Surgical aortic valve replacement is effective, even for high-risk patients, with low mortality and excellent outcomes. Comprehensive surgical consultation minimizes surgery refusal rates, establishing a benchmark for future techniques.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Valve Surgery

Background:

  • The contemporary status of aortic valve replacement (AVR) requires an updated overview.
  • Aortic valve disease necessitates timely and effective treatment strategies.

Purpose of the Study:

  • To provide an overview of the contemporary status of aortic valve replacement.
  • To evaluate the outcomes of surgical AVR in various risk groups.

Main Methods:

  • Single-center prospective study initiated in January 2003.
  • All patients with aortic valve disease underwent cardiologist and surgeon evaluation for AVR eligibility.
  • Operations performed via median sternotomy with cardiopulmonary bypass and cardioplegic arrest.

Main Results:

  • 873 cases screened; 15 inoperable (1%), 99 high-risk (EuroSCORE ≥ 10), 759 moderate- to low-risk.
  • In-hospital mortality: 6.0% (high-risk) vs. 0.3% (moderate- to low-risk).
  • Excellent valve function (99.3%) and favorable long-term outcomes (89% NYHA 1-2 at follow-up).

Conclusions:

  • Surgical AVR offers excellent results and low operative mortality, even in high-risk patients.
  • Universal surgical consultation minimizes surgery refusal rates.
  • Study data serves as a benchmark for transcatheter aortic valve replacement (TAVR) techniques.
Abstract

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