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Aortic Valve Repair Using Geometric Ring Annuloplasty

Publication ,  Journal Article
Rankin, JS; Wei, LM; Downey, RS; Si, MS; Gerdisch, MW; Kupferschmid, JP; Baker, JN; Perez-Tamayo, RA; Hughes, GC; Blossom, GB; Turek, JW; Badhwar, V
Published in: Operative Techniques in Thoracic and Cardiovascular Surgery
June 1, 2021

Reparative operations for insufficient cardiac valves constitute the surgical procedures of choice when pathoanatomies permit. At present, mitral and tricuspid repair techniques are well-established, but recent data also suggest that reconstruction of insufficient aortic valves may be associated with lower operative mortality, fewer valve-related complications, and improved survival. In an effort to increase adoption of aortic valve repair and to mitigate recurrent insufficiency, annuloplasty rings based on normal aortic root geometry have been developed to position in the inflow portion of the aortic annulus similar to mitral and tricuspid rings. This review will describe techniques for tri-leaflet and bicuspid geometric ring annuloplasty, and also will address leaflet reconstruction methods for the common leaflet pathologies. The application of a pathoanatomic approach to aortic insufficiency now permits the majority of aortic valves to be repaired with acceptable clinical outcomes.

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Published In

Operative Techniques in Thoracic and Cardiovascular Surgery

DOI

EISSN

1532-8627

ISSN

1522-2942

Publication Date

June 1, 2021

Volume

26

Issue

2

Start / End Page

173 / 188

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

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Chicago
ICMJE
MLA
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Rankin, J. S., Wei, L. M., Downey, R. S., Si, M. S., Gerdisch, M. W., Kupferschmid, J. P., … Badhwar, V. (2021). Aortic Valve Repair Using Geometric Ring Annuloplasty. Operative Techniques in Thoracic and Cardiovascular Surgery, 26(2), 173–188. https://doi.org/10.1053/j.optechstcvs.2020.11.008
Rankin, J. S., L. M. Wei, R. S. Downey, M. S. Si, M. W. Gerdisch, J. P. Kupferschmid, J. N. Baker, et al. “Aortic Valve Repair Using Geometric Ring Annuloplasty.” Operative Techniques in Thoracic and Cardiovascular Surgery 26, no. 2 (June 1, 2021): 173–88. https://doi.org/10.1053/j.optechstcvs.2020.11.008.
Rankin JS, Wei LM, Downey RS, Si MS, Gerdisch MW, Kupferschmid JP, et al. Aortic Valve Repair Using Geometric Ring Annuloplasty. Operative Techniques in Thoracic and Cardiovascular Surgery. 2021 Jun 1;26(2):173–88.
Rankin, J. S., et al. “Aortic Valve Repair Using Geometric Ring Annuloplasty.” Operative Techniques in Thoracic and Cardiovascular Surgery, vol. 26, no. 2, June 2021, pp. 173–88. Scopus, doi:10.1053/j.optechstcvs.2020.11.008.
Rankin JS, Wei LM, Downey RS, Si MS, Gerdisch MW, Kupferschmid JP, Baker JN, Perez-Tamayo RA, Hughes GC, Blossom GB, Turek JW, Badhwar V. Aortic Valve Repair Using Geometric Ring Annuloplasty. Operative Techniques in Thoracic and Cardiovascular Surgery. 2021 Jun 1;26(2):173–188.
Journal cover image

Published In

Operative Techniques in Thoracic and Cardiovascular Surgery

DOI

EISSN

1532-8627

ISSN

1522-2942

Publication Date

June 1, 2021

Volume

26

Issue

2

Start / End Page

173 / 188

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology