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Updated: Jan 21, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.6K
Recent advances in aortic valve replacement
Cristiano Spadaccio1, Khalid Alkhamees2, Nawwar Al-Attar1
1Department of Cardiac Surgery, Golden Jubilee National Hospital, Agamemnon Street, Glasgow, G81 4DY, UK.
F1000Research
|July 30, 2019
Summary
Surgical aortic valve replacement offers minimally invasive options beyond traditional sternotomy. Advancements in sutureless valves may further reduce surgical trauma and improve outcomes, warranting comparative trials.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Interventional Cardiology
Background:
- Aortic valve replacement (AVR) traditionally used median sternotomy and sutured prostheses.
- Current AVR encompasses minimally invasive approaches with various prosthesis types.
- Surgical AVR remains a viable option, especially compared to transcatheter alternatives for high-risk patients.
Purpose of the Study:
- To review current minimally invasive surgical aortic valve replacement techniques.
- To compare surgical AVR with transcatheter valve implants.
- To explore the potential of sutureless valves in reducing surgical invasiveness.
Main Methods:
- Review of current surgical aortic valve replacement techniques.
- Comparison of surgical AVR outcomes with transcatheter valve implants in high/intermediate-risk patients.
- Discussion of advancements in sutureless valve technology and minimally invasive surgery.
Main Results:
- Surgical AVR can be performed via minimally invasive approaches using diverse prostheses.
- Conventional surgery is not inferior to transcatheter valve implants in high/intermediate-risk patients.
- Sutureless valves show promise for reducing invasiveness and improving outcomes in minimally invasive AVR.
Conclusions:
- Minimally invasive surgical aortic valve replacement offers effective treatment for various aortic valve pathologies.
- Sutureless valves represent a significant advancement, potentially decreasing surgical trauma.
- Further trials comparing sutureless and transcatheter valves are essential.
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