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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

42
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...
42
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

36
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...
36
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

21
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...
21
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

24
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
24

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Updated: Sep 9, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Twenty Years' Experience With Minimally Invasive Aortic Valve Repair.

Razan Salem1, Hiwad Rashid1, Afsaneh Karimian-Tabrizi1

  • 1Department of Cardiovascular Surgery, University Hospital and Goethe University, 60596 Frankfurt/Main, Germany.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|August 29, 2025
PubMed
Summary
This summary is machine-generated.

Minimally invasive aortic valve repair (MIAVr) is a safe and effective procedure for aortic valve incompetence, demonstrating excellent long-term results and valve performance. This approach does not compromise durability, making it a viable option for patients.

Keywords:
David procedureFlorida sleeveaortic valve reimplantationaortic valve repairminimally invasive cardiac surgeryvalve-sparing aortic root replacement

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Cardiac Surgery
  • Aortic Valve Repair

Background:

  • Aortic valve repair is preferred for significant aortic valve incompetence at experienced centers.
  • Minimally invasive aortic valve repair (MIAVr) adoption is limited by technical complexity.

Purpose of the Study:

  • To present long-term outcomes of minimally invasive aortic valve repair (MIAVr).

Main Methods:

  • Retrospective analysis of 308 patients undergoing MIAVr via upper ministernotomy from 2000 to 2022.
  • Long-term follow-up data evaluated using Kaplan-Meier and competing risk analysis.

Main Results:

  • Low perioperative complication rates: 1% conversion to sternotomy, 0.3% stroke, 0.3% 30-day mortality.
  • Estimated reoperation incidence: 4.1% at 5 years, 11.7% at 10 years, 15.8% at 15 years.
  • Estimated cumulative incidence of recurrent aortic regurgitation ≥ moderate: 12.1% at 5 years, 18.7% at 10 years, 23.0% at 15 years.
  • Estimated overall survival: 90.7% at 5 years, 79.3% at 10 years, 63.4% at 15 years.

Conclusions:

  • Minimally invasive aortic valve repair (MIAVr) is safe and reproducible.
  • MIAVr demonstrates very good long-term valve performance.
  • Minimally invasive access does not compromise long-term durability or valve performance.