Aortic Valve Insufficiency: Leaflet Reconstruction Techniques

Slides:

Advertisements

Similar presentations

Endovascular Repair of Thoracoabdominal Aortic Aneurysms with Fenestrated- Branched Stent-Grafts Edward G. Soltesz, MD, MPH, Roy K. Greenberg, MD Operative.

Advertisements

The Rheumatic Mitral Valve and Repair Techniques in Children

Modeling leaflet correction techniques in aortic valve repair: A finite element study Michel R. Labrosse, Munir Boodhwani, Benjamin Sohmer, Carsten J.

Volume 15, Issue 1, Pages (January 2012)

Ronald C. Elkins Operative Techniques in Cardiac and Thoracic Surgery

Bicuspid aortic valve repair by complete conversion from “raphe'd” (type 1) to “symmetric” (type 0) morphology Thomas G. Gleason, MD The Journal of.

Valve-Sparing Aortic Root Replacement

Aortic Valve Reconstruction in the Young Infants and Children

Pedro J. del Nido, Christopher Baird

Aortic Valve Reconstruction With Leaflet Replacement and Sinotubular Junction Fixation: Early and Midterm Results Meong Gun Song, MD, Hyun Suk Yang,

The Arterial Switch Procedure: Closed Coronary Artery Transfer

Pulmonary Valve Preservation Strategies for Tetralogy of Fallot Repair

An alternative technique for aortic root remodeling in patients with bicuspid aortic valve Gino Gerosa, MD, Sara Pontarollo, MD, Sabino Iliceto, MD, Francesca.

Leaflet Reconstructive Techniques for Aortic Valve Repair

Valve-Sparing Options in Tetralogy of Fallot Surgery

Aortic Valve Repair Munir Boodhwani, MD, MMSc, Gebrine El Khoury, MD

In situ reconstruction using the half-ring–shaped aortic wall for transposition of the great arteries Takashi Miyamoto, MD, PhD, Shuichi Yoshitake, MD,

Wolfgang F. Konertz, Alexandros Sidiropoulos, Jianshi Liu

A simple method for the quantification and correction of aortic cusp prolapse by means of free margin plication Munir Boodhwani, MD, MMSc, Laurent de.

Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy? Nicholas D. Andersen,

Mitral valve replacement with a calcified annulus

Volume 15, Issue 1, Pages (January 2012)

The Relentless Effects of the Fontan Paradox

Finding the ideal biomaterial for aortic valve repair with ex vivo porcine left heart simulator and finite element modeling Hadi Daood Toeg, MD, MSc,

Ebstein's Anomaly of the Tricuspid Valve: The Cone Repair

Repair of Postinfarction Ventricular Septal Defect

Hassane Abdallah, MD, Alaae Boutayeb, MD, Gebrine El Khoury, PhD

Ross operation after failed valve-sparing reimplantation: Pulmonary autograft inclusion into the previously implanted Valsalva graft Saadallah Tamer,

Bicuspid aortic valve aortopathy: One size fits all?

Absent Pulmonary Valve Repair

Ronald C. Elkins Operative Techniques in Cardiac and Thoracic Surgery

Management of Neonatal Ebstein's Anomaly

Single Cusp Replacement for Aortic Regurgitation

Endocarditis with Involvement of the Aorto-Mitral Curtain

The Rheumatic Mitral Valve and Repair Techniques in Children

Chordal Preservation in Mitral Valve Replacement

Volume 15, Issue 1, Pages (January 2012)

Fleur de Lys Repair of Posterior Mitral Valve Leaflet

Massive calcified left ventricular aneurysm and ventricular septum: Successful surgical repair and reconstruction Xianqiang Wang, MD, Hengchao Wu, MD,

Carl L. Backer, MD, Osama Eltayeb, MD, Michael C. Mongé, MD, John M

Truly stentless autologous pericardial aortic valve replacement: An alternative to standard aortic valve replacement K.M. John Chan, BMedSci (Hons),

Nikaidoh vs Réparation à l'Etage Ventriculaire vs Rastelli

Tricuspid Valve Repair in Single Ventricle: Timing and Techniques

Vikas Sharma, MBBS, Rakesh M. Suri, MD, DPhil, Joseph A

Support Your Specialty

Patch Enlargement of the Aortic Annulus using the Manouguian Technique

Aortic Valve Repair Munir Boodhwani, MD, MMSc, Gebrine El Khoury, MD

Anna Marciniak, PhD, Georgios T

Biologic versus Mechanical Valve Replacement of the Pulmonary Valve After Multiple Reconstructions of the RVOT Tract S. Adil Husain, MD, John Brown,

Valve-Sparing Aortic Root Replacement and Neochordal Repair of Complex Aortic Leaflet Pathology for Ruptured Sinus of Valsalva Aneurysm Fistulizing to.

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,

Tirone David valve-sparing aortic root replacement and cusp repair for bicuspid aortic valve disease Fabian A. Kari, MD, David H. Liang, MD, PhD, John-Peder.

Replicating the success of mitral valve repair in the aortic valve

Tricuspid Valve Repair for Functional Tricuspid Regurgitation

Use of untreated pericardial patches for atrial septal defect closure

Surgical management of symptomatic cardiac fibromas in children

Afksendiyos Kalangos, MD, PD, FETCSa, Maurice Beghetti, MDb, Jan T

Paul Urbanski, MD, PhD The Annals of Thoracic Surgery

Volume 22, Pages (January 2019)

Homograft valve repair for recurrent prosthetic valve endocarditis

Javariah Siddiqui, MBBS, Christian P. Brizard, MD, Igor E

Root Remodeling and Aortic Valve Repair for Unicuspid Aortic Valve

Mitral Valve Implantation

Remodeling of the aortic root and reconstruction of the bicuspid aortic valve Hans-Joachim Schäfers, MD, PhD, Frank Langer, MD, Diana Aicher, MD, Thomas.

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Predictors of early and medium-term outcome of 200 consecutive aortic valve and root repairs Marek J. Jasinski, MD, PhD, Radoslaw Gocol, MD, Marcin Malinowski,

Principles of aortic valve repair

Risk of Valve-Related Events After Aortic Valve Repair

Designing valves: An art or science?

Pericardial Patch Augmentation for Reconstruction of Incompetent Bicuspid Aortic Valves Mirko Doss, MD, Reinhard Moid, MD, Jeffrey Paul Wood, MD, Aleksandra.

Presentation transcript:

Aortic Valve Insufficiency: Leaflet Reconstruction Techniques Joel Price, Gebrine El Khoury Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual Volume 15, Issue 1, Pages 3-8 (January 2012) DOI: 10.1053/j.pcsu.2012.01.003 Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 1 Technique for free margin central plication. A, Placement of the reference suture. B, Placement of the free margin plication suture. C, Plication of the body of the leaflet from base of the fold to the free margin. D, Final appearance after repair. Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 3-8DOI: (10.1053/j.pcsu.2012.01.003) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 2 Triangular resection performed by grasping the apex of the fold at the free margin with forceps and cutting with scissor blades maintained parallel to the plane of the leaflet tissue. Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 3-8DOI: (10.1053/j.pcsu.2012.01.003) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 3 Technique for reconstruction of a bicuspid valve using a triangular pericardial patch. A, Demonstration of the appropriate size of the patch by fixing the leaflet to the reference leaflet. B, Completed patch repair. Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 3-8DOI: (10.1053/j.pcsu.2012.01.003) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 4 Commissural reconstruction in a bicuspid valve. A, Resection of the diseased pseudocommissure. B, A strip of bovine pericardium is folded in half and attached to the aortic wall at the same height as the true commissure. C, The patch is attached to the residual aortic leaflets on either side. D, Final appearance of the reconstructed commissure. Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 3-8DOI: (10.1053/j.pcsu.2012.01.003) Copyright © 2012 Elsevier Inc. Terms and Conditions