Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes Munir Boodhwani, MD, MMSc, Laurent de Kerchove,

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Presentation transcript:

Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes Munir Boodhwani, MD, MMSc, Laurent de Kerchove, MD, David Glineur, MD, Alain Poncelet, MD, Jean Rubay, MD, Parla Astarci, MD, Robert Verhelst, MD, Philippe Noirhomme, MD, Gébrine El Khoury, MD The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 2, Pages 286-294 (February 2009) DOI: 10.1016/j.jtcvs.2008.08.054 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Repair-oriented functional classification of aortic insufficiency (AI) with description of disease mechanisms and repair techniques used. FAA, Functional aortic annulus; STJ, sinotubular junction; SCA, subcommissural annuloplasty. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 286-294DOI: (10.1016/j.jtcvs.2008.08.054) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Description of aortic valve pathology according to number of lesions (top left), types of pathology observed (bottom left), and description and frequencies of multiple pathologies observed (right). The Journal of Thoracic and Cardiovascular Surgery 2009 137, 286-294DOI: (10.1016/j.jtcvs.2008.08.054) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Clinical outcomes in entire cohort (n = 264). A, Overall survival and freedom from cardiac death. B, Freedom from aortic valve (AV) reoperation and replacement. C, Freedom from recurrent aortic insufficiency greater than 2+. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 286-294DOI: (10.1016/j.jtcvs.2008.08.054) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Comparative clinical outcomes of type I or II versus type III aortic insufficiency with respect to freedom from aortic valve reoperation (A, P = .08) and recurrence of aortic insufficiency greater than 2+ (B). Asterisk indicates P = .03. C, Comparison of aortic insufficiency recurrence in bicuspid versus tricuspid aortic valve repair (P = .7). The Journal of Thoracic and Cardiovascular Surgery 2009 137, 286-294DOI: (10.1016/j.jtcvs.2008.08.054) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions