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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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
Summary
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.
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