Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Perfecting the Ross: A New Benchmark for All Aortic Valve Replacement.

Journal of the American College of Cardiology·2026
Same author

Commentary: Aortic valve reimplantation at the crossroads.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Late adverse cardiovascular events after aortic valve-sparing operations in patients with Marfan syndrome.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Mitral Valve Repair in Patients With Connective Tissue Disorders.

The Annals of thoracic surgery·2026
Same author

The Effect of Sex on Outcomes of Mitral Valve Repair.

The Annals of thoracic surgery·2026
Same author

Cardiovascular Events in Patients with Marfan Syndrome.

The Annals of thoracic surgery·2026
Same journal

Predictors of Mortality after Surgery for Empyema Thoracis in Chronic Kidney Disease Patients.

The Korean journal of thoracic and cardiovascular surgery·2020
Same journal

Surgical Outcomes of Kommerell Diverticulum.

The Korean journal of thoracic and cardiovascular surgery·2020
Same journal

Simple Interrupted Suturing for Aortic Valve Replacement in Patients with Severe Aortic Stenosis.

The Korean journal of thoracic and cardiovascular surgery·2020
Same journal

Clinical Outcomes of Atypical Inflammatory Variants of Abdominal Aortic Aneurysm.

The Korean journal of thoracic and cardiovascular surgery·2020
Same journal

Surgical Outcomes of Malignant Primary Cardiac Tumor: A 20-Year Study at a Single Center.

The Korean journal of thoracic and cardiovascular surgery·2020
Same journal

A Bronchial Lipoma: Occurrence at an Unusual Site and Its Successful Bronchoscopic Resection with an Electrosurgical Snare.

The Korean journal of thoracic and cardiovascular surgery·2020
See all related articles

Related Experiment Video

Updated: May 19, 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

Aortic valve sparing operations: a review.

Tirone E David1

  • 1Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University of Toronto, Canada.

The Korean Journal of Thoracic and Cardiovascular Surgery
|August 11, 2012
PubMed
Summary
This summary is machine-generated.

Aortic valve sparing operations, including remodeling and reimplantation, offer excellent outcomes for aortic aneurysms. Reimplantation may reduce long-term aortic insufficiency risk, especially in younger patients.

Keywords:
Aortic insufficiencyAortic root aneurysmAortic valve sparing

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

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

Published on: May 21, 2017

Related Experiment Videos

Last Updated: May 19, 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

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

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

Published on: May 21, 2017

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Valve Surgery

Background:

  • Aortic valve sparing operations preserve the native valve during surgery for aortic root and ascending aortic aneurysms with aortic insufficiency.
  • Two primary techniques exist: aortic root remodeling and aortic valve reimplantation.

Purpose of the Study:

  • To summarize the clinical outcomes and indications for aortic valve sparing operations.
  • To compare the long-term efficacy and risks of aortic root remodeling versus aortic valve reimplantation.

Main Methods:

  • Review of published clinical experiences with aortic valve sparing operations.
  • Analysis of long-term follow-up data for both remodeling and reimplantation techniques.

Main Results:

  • Both aortic valve sparing operations yield excellent clinical outcomes in experienced hands.
  • Aortic root remodeling is physiologically superior, but reimplantation is associated with a lower risk of long-term aortic insufficiency.
  • Reimplantation is preferred for young patients with inherited disorders, while remodeling suits older patients with normal annuli.

Conclusions:

  • Aortic valve sparing operations are established procedures, not experimental.
  • These techniques should be part of the surgical options for aortic root and ascending aortic aneurysms with aortic insufficiency.