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Updated: Sep 9, 2025
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.2K
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.
Summary
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.
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.
Keywords:
David procedureFlorida sleeveaortic valve reimplantationaortic valve repairminimally invasive cardiac surgeryvalve-sparing aortic root replacementMore Related Videos
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