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

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Presentation transcript:

Expanding relevance of aortic valve repair—is earlier operation indicated? Vikas Sharma, MBBS, Rakesh M. Suri, MD, DPhil, Joseph A. Dearani, MD, Harold M. Burkhart, MD, Soon J. Park, MD, Lyle D. Joyce, MD, Zhuo Li, MSc, Hartzell V. Schaff, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages 100-108 (January 2014) DOI: 10.1016/j.jtcvs.2013.08.015 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Aortic valve repair techniques. A, Annular dilation of aortic valve causing central regurgitation. Plication stitches are placed in the aortic wall at each commissure. B, Bicuspid aortic valve. Triangular resection of the conjoint cusp raphe is performed and then reconstructed using monofilament suture, with mid-cusp plication of prolapsing bicuspid aortic valve cusp without raphe. C, Tricuspid valve with prolapse. Central plication or Trusler stitch or free edge resuspension can be used. D, Patch repair of perforation. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 100-108DOI: (10.1016/j.jtcvs.2013.08.015) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Kaplan-Meier curve detailing late survival compared with healthy age- and gender-matched US population. B, Kaplan-Meier curves for survival for patients with ejection fraction (EF) <50% and >50%. C, Kaplan-Meier curves for survival for patients with left ventricular end-systolic dimension (LVESD) <50 and >50 mm. D, Kaplan-Meier curve for freedom from late aortic valve (AV) reoperation (re-op). E, Kaplan-Meier curve for freedom from aortic regurgitation (AR) grade >2+. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 100-108DOI: (10.1016/j.jtcvs.2013.08.015) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions