Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Non-prosthetic aortic valve surgery

C M Duran1, B Gometza, Z al-Halees

  • 1Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

The Journal of Heart Valve Disease
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Differential regulation of atrial and brain natriuretic peptides and its implications for the management of left ventricular volume overload.

European journal of clinical investigation·2002
Same author

A new method for the preservation of aortic valve homografts.

The Journal of heart valve disease·2002
Same author

Repair of moderate aortic valve lesions associated with other pathology: an 11-year follow-up.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2001
Same author

Hemodynamic evaluation of a new stentless autologous pericardial mitral valve.

The Annals of thoracic surgery·2001
Same author

Pathogenic mechanisms in rheumatic carditis: focus on valvular endothelium.

The Journal of infectious diseases·2001
Same author

Status of thoracic organ transplantation in Saudi Arabia.

Transplantation proceedings·2000
Same journal

Impact of Patient-Specific Material Properties on Aneurysm Wall Stress: Finite Element Study.

The Journal of heart valve disease·2021
Same journal

Range of Pulmonary Autograft Responses to Systemic Pressure Immediately After Ross Procedure.

The Journal of heart valve disease·2021
Same journal

Evolution of Bilateral Mammary Arterial Grafting Program in Veterans Affairs Medical Center.

The Journal of heart valve disease·2021
Same journal

Double Valve Failure Due to Perceval Sutureless Aortic Valve Migration.

The Journal of heart valve disease·2018
Same journal

Use of AngioVac for Removal of Tricuspid Valve Vegetation.

The Journal of heart valve disease·2018
Same journal

Management of Late Paravalvular Leak after Transcatheter Valve Placement in Calcified Mitral Annulus.

The Journal of heart valve disease·2018
See all related articles

Non-prosthetic aortic valve surgery, including homografts, pulmonary autografts, and pericardial reconstruction, offers a viable alternative for younger patients with aortic valve disease. This approach demonstrated favorable survival rates and low thromboembolic events in a retrospective study.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Biomaterials in Medicine

Background:

  • Aortic valve disease management is evolving, prompting re-evaluation of non-prosthetic surgical techniques.
  • Significant advancements in myocardial protection have renewed interest in older surgical solutions.

Purpose of the Study:

  • To evaluate the outcomes of non-prosthetic aortic valve surgery in a cohort of patients.
  • To assess the efficacy and safety of various non-prosthetic aortic valve replacement strategies.

Main Methods:

  • Retrospective review of 361 patients undergoing non-prosthetic aortic valve surgery between July 1988 and March 1994.
  • Analysis of different techniques: homograft, pulmonary autograft, pericardial reconstruction, and repair.
  • Evaluation of perioperative and late outcomes, including mortality, reoperations, and thromboembolic events.

Related Experiment Videos

Main Results:

  • Homograft (n=11): 1 hospital death, no late deaths, no reoperations.
  • Pulmonary autograft (n=58): 0 hospital deaths, 1 late death (non-cardiac), 3 reoperations (5.17%).
  • Pericardial reconstruction (n=76): 0 hospital deaths, 3 late deaths (3.95%), 4 reoperations (5.26%).
  • Repair (n=216): 8 hospital deaths (3.7%), 9 late deaths (4.32%), 25 reoperations (12%).
  • Overall actuarial survival was 91.76 +/- 2.40% at 66 months.
  • Low thromboembolic events observed, with only 1.02% requiring anticoagulation (excluding mitral surgery patients).

Conclusions:

  • Non-prosthetic aortic valve surgery provides a highly attractive alternative, particularly for younger patient populations.
  • Pulmonary autograft and pericardial reconstruction demonstrated promising results with low mortality and acceptable reoperation rates.
  • The study supports the continued consideration of non-prosthetic options in aortic valve disease management.