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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

537
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...
537

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Related Experiment Video

Updated: Mar 17, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Valve-sparing root replacement in children.

Jolanda Kluin1, David R Koolbergen1, Vladimir Sojak1

  • 1Department of Cardiothoracic Surgery, Leiden University Center, Leiden, Netherlands Department of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, Netherlands.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|July 21, 2016
PubMed
Summary

Valve-sparing root surgery using the reimplantation technique is safe in children, offering favorable mid-term results. However, additional cusp repair may increase the risk of aortic valve regurgitation.

Keywords:
Aortic valve preservationAortic valve repairChildrenCongenitalPaediatricValve-sparing root replacement

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Aortic Valve Repair

Background:

  • Concerns exist regarding valve-sparing procedures in pediatric patients, particularly the valve-remodeling technique.
  • This study focuses on the valve-sparing reimplantation technique in children.

Purpose of the Study:

  • To review the safety and efficacy of the valve-sparing reimplantation technique in pediatric patients.
  • To evaluate mid-term outcomes and identify factors influencing results.

Main Methods:

  • Retrospective analysis of pediatric patients (<18 years) undergoing valve-sparing root replacement via reimplantation technique.
  • Data collected over 12.5 years, including patient demographics, surgical details, and follow-up outcomes.

Main Results:

  • Nineteen pediatric patients (median age 13.2 years) underwent the procedure; 17 had connective tissue disease.
  • No perioperative mortality; one late death. 94% had Grade 0 aortic valve regurgitation (AR) at follow-up (4.4 ± 3.8 years).
  • Three patients required cusp repair, with one developing Grade 3 AR necessitating aortic valve replacement.

Conclusions:

  • Valve-sparing root surgery with the reimplantation technique is safe in children.
  • Mid-term follow-up demonstrates stable and favorable outcomes.
  • Concomitant leaflet reconstruction may be associated with a higher rate of recurrent AR.