The authors analyzed long-term recurrent aortic regurgitation (AR) in 249 patients with aortic insufficiency and reimplantation procedure. Of the cusp repair techniques evaluated in the analysis, only free margin reinforcement and patch repair influenced valve durability, the former positively and the latter negatively.
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Aorta
June 22, 2017
Hiraoka and colleagues compared outcomes of 337 patients receiving conventional total aortic arch repair to 58 patients receiving hybrid aortic arch repair at a single cardiovascular institution. The authors observed no differences in operative or 30-day death.
June 19, 2017
Gaudino and colleagues report a retrospective analysis of short-term outcomes following aortic valve-sparing operations (VSO) with and without reconstruction of the sinuses of Valsalva (SV). Despite the importance of the SV for aortic valve function, data evaluating SV reconstruction with VSO are limited.
May 25, 2017
This video shows the treatment of a 5-year-old patient with a rapidly enlarging aneurysm and left ventricular outflow tract to pulmonary artery shunt.
May 17, 2017
Surgery for treatment of this aortopathy entailing aortic root replacement was assessed in this single institution retrospective study of 34 children. 90% had valve sparing surgery; there was no operative mortality. Reintervention is commonly needed, and frequent surveillance imaging is recommended.
March 29, 2017
A succinct editorial advancing the case for aortic super-centres
March 27, 2017
The authors sought to enhance the landing zone in management of retrograde Type A aortic dissection by inducing thrombosis of the false lumen as a first stage followed by TEVAR. Management was successful in all 9 pts in whom it was attempted.
March 1, 2017
John Pepper of the Royal Brompton and Harefield Hospitals, London, United Kingdom, argues that there is not yet the evidence to support the superiority of minimally invasive aortic valve replacement over a full sternotomy approach.
February 23, 2017
Christopher Young of St. Thomas' Hospital, London, UK, reviews the evidence for minimally invasive aortic valve replacement.
January 11, 2017
Mohammad Bashir moderates a debate on the threshold for aortic replacement in bicuspid-aortic-valve-related aortopathy.