Cusp height in aortic valves

Slides:



Advertisements
Similar presentations
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Advertisements

Of mice and men and surgical transcatheter aortic valve insertion
Lost in translation The Journal of Thoracic and Cardiovascular Surgery
An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor  Dong Zhao, MD, Chunsheng Wang,
Challenging homografts as the holy grail for aortic valve endocarditis
Valve-sparing aortic root replacement and remodeling with complex aortic valve reconstruction in children and young adults with moderate or severe aortic.
J. Scott Rankin, MD, M. Crockett Bone, BS, Peter M
Replacement of the ascending aorta in bicuspid aortic valve disease: Where do we draw the line?  Thoralf M. Sundt, MD  The Journal of Thoracic and Cardiovascular.
Improving health care by embracing Systems Theory
Basal cusp enlargement for repair of aortic valve insufficiency
Aortic root remodeling leads to good valve stability in acute aortic dissection and preexistent root dilatation  Takashi Kunihara, MD, PhD, Niklas Neumann,
New graft formulation and modification of the David reimplantation technique  Thomas G. Gleason, MD  The Journal of Thoracic and Cardiovascular Surgery 
Abracadabra I, II…HeartMate 3?
Form ever follows function
Bicuspid aortic valve aortopathy: One size fits all?
Valve-sparing root repair: V-shaped remodeling can be performed in all sinuses  Paul P. Urbanski, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery 
The lord of the rings  Antonio Miceli, MD, PhD 
Causes and management of aortic valve regurgitation after aortic valve reimplantation  Christian Giebels, MD, Diana Aicher, MD, Takashi Kunihara, MD, PhD,
Direct visualization of the aortic cusp from the left ventricle during aortic root reimplantation  Yutaka Okita, PhD, MD, Takanori Oka, MD, Shunsuke Miyahara,
Tricuspid regurgitation as a result of Chiari network attachment
Sinus Plication to Improve Valve Configuration in Bicuspid Aortic Valve Repair—Early Results  Ulrich Schneider, MD, Wolfram Schmied, Dipl-Psych, Diana.
Analysis of the aortic root in patients with tetralogy of Fallot undergoing early repair: Form follows function  Katrien François, MD, PhD, David Creytens,
Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair 
Echocardiography underestimates the aortic root diameter in patients with bicuspid aortic valve, but short-axis imaging can help  Hector I. Michelena,
Repair follows anatomy
Innovation and science: The future of valve design
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Hans-Hinrich Sievers, MD 
The aortic valve–sparing operation
Get it right the first time
Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005  Scott D. Barnett, PhD,
The Journal of Thoracic and Cardiovascular Surgery
Which is the “lord” of the aortic rings?
Aortic root numeric model: Annulus diameter prediction of effective height and coaptation in post–aortic valve repair  Gil Marom, MSc, Rami Haj-Ali, PhD,
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Sinus of Valsalva aneurysms: Stabilizing the repair destabilizing the aortic valve?  M. Sertaç Çiçek, MD, FACC  The Journal of Thoracic and Cardiovascular.
Endothelial Nitric Oxide Synthase in Bicuspid Aortic Valve Disease
The Journal of Thoracic and Cardiovascular Surgery
In search of the smoking gun in calcific aortic valve disease
Replicating the success of mitral valve repair in the aortic valve
Commentary: Ongoing advancements in the understanding of tricuspid valve dynamics and functional geometry  Daniel J.P. Burns, MD, MPhil  The Journal of.
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Aortic dimensions in patients with bicuspid and tricuspid aortic valves  Veronica Jackson, MD, Christian Olsson, MD, PhD, Per Eriksson, PhD, Anders Franco-Cereceda,
The Mitroflow aortic valve: A past, present, and future illuminated
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
Functional tricuspid pathology: To treat or not to treat
Hans-Joachim Schäfers, MD 
Concomitant replacement of the ascending aorta is free—for some
Innovation in cardiothoracic surgical training
Preservation of the Bicuspid Aortic Valve
Jason J. Han, MD, Pavan Atluri, MD 
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
Quality of life after aortic valve surgery: Replacement versus reconstruction  Diana Aicher, MD, Annika Holz, Susanne Feldner, MD, Volker Köllner, MD,
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone?  Juan A. Crestanello, MD  The Journal of.
Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable  Craig M. Jarrett,
Bicuspid aortopathy: Seeing the forest for the trees
To pleat or not to pleat…is that the question?
Ralph E. Delius, MD  The Journal of Thoracic and Cardiovascular Surgery 
“The more things change…”: The challenges ahead
Toward a more rational approach in treating type B aortic dissection
Valve-sparing aortic root replacement in bicuspid aortic valves: A reasonable option?  Diana Aicher, MD, Frank Langer, MD, Anke Kissinger, Henning Lausberg,
Aortic root endoscopy for aortic valve–sparing operations
Principles of aortic valve repair
Journal changes and initiatives
Designing valves: An art or science?
Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Presentation transcript:

Cusp height in aortic valves Hans-Joachim Schäfers, MD, Wolfram Schmied, Dipl Psych, Gil Marom, MSc, Diana Aicher, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 2, Pages 269-274 (August 2013) DOI: 10.1016/j.jtcvs.2012.06.053 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Schematic drawing of the aortic root with graphic description of geometric height. AN, Aortoventricular junction; gH, geometric height; STJ, sinotubular junction; sinus, maximal sinus diameter; 1, shortest distance from aortic insertion to coaptation line; 2, distance assuming a straight course of the cusp and a coaptation height of 4 mm; 3, maximum geometric height assuming the effective height is equal to the coaptation height. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 269-274DOI: (10.1016/j.jtcvs.2012.06.053) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Intraoperative photograph showing measurement of geometric height. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 269-274DOI: (10.1016/j.jtcvs.2012.06.053) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Distribution of geometric height in bicuspid (n = 289; nonfused cusps) and tricuspid (n = 332; mean of all 3 cusps) aortic valves. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 269-274DOI: (10.1016/j.jtcvs.2012.06.053) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Correlation between body height and geometric height in tricuspid aortic valves (n = 332; mean of all 3 cusps). The Journal of Thoracic and Cardiovascular Surgery 2013 146, 269-274DOI: (10.1016/j.jtcvs.2012.06.053) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions