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Updated: Jan 13, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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Commissural Prolapse: Combining the Best From Two Aortic Valve Repair Techniques
Anze Djordjevic1, Peter Juric1, Suzana Danojevic1
1Department of Cardiac Surgery, University Medical Centre Maribor, 2000 Maribor, Slovenia.
Interdisciplinary Cardiovascular and Thoracic Surgery
|January 8, 2026
Summary
Aortic valve commissural avulsion, a rare cause of aortic regurgitation, can be successfully repaired. This case demonstrates effective valve-sparing surgery for this uncommon condition.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Aortic valve commissural avulsion is a rare cause of aortic regurgitation.
- It is often underdiagnosed, presenting diagnostic challenges.
Purpose of the Study:
- To report a case of spontaneous aortic valve commissural avulsion.
- To illustrate the successful surgical repair using valve-sparing techniques.
Main Methods:
- The patient underwent valve-sparing aortic root replacement.
- A combined approach included root remodelling with external annuloplasty (Lansac technique) and commissural reinforcement (David principles).
- Multimodality imaging was used for diagnosis and follow-up.
Main Results:
- The surgical repair resulted in stable aortic root geometry at six months.
- Good leaflet coaptation and mild central regurgitation were observed.
- Improved left ventricular function was noted postoperatively.
Conclusions:
- Tailored valve-sparing techniques can achieve durable repair for rare commissural lesions.
- Multimodality imaging is crucial for diagnosing and managing aortic valve commissural avulsion.
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