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Aortic Annulus Stabilization Using Internal Rings

  • Khalil Fattouch
  • Tommaso Favara
  • Francesco Guccione
  • Pietro DioguardiEmail author
Chapter

Abstract

The past 20 years have seen the growing range of valve lesion etiologies turn nonvalvular conditions into the primary causes of aortic regurgitation [1]. Valves present relatively small lesions of the leaflets and concomitant dilatation of the ascending aorta with aortic regurgitation that can be explained thanks to our improved knowledge of the functional aortic annulus’ role in valve function. The geometric relations and dynamic behavior of aortic root components have been seen to ensure valve competence when leaflets have no structural lesions [2].

References

  1. 1.
    Boodhwani M, de Kerchove L, Glineur D, et al. Repair-oriented classification of aortic insufficiency: impact on surgical techniques and clinical outcomes. J Thorac Cardiovasc Surg. 2009;137:286–94.CrossRefGoogle Scholar
  2. 2.
    Ho SY. Structure and anatomy of the aortic root. Eur J Echocardiogr. 2009;10:i3–10.CrossRefGoogle Scholar
  3. 3.
    Carr JA, Savage EB. Aortic valve repair for aortic insufficiency in adults: a contemporary review and comparison with replacement techniques. Eur J Cardiothorac Surg. 2004;25:6–15.CrossRefGoogle Scholar
  4. 4.
    Minakata K, Schaff VH, Zehr JK, et al. Is repair of aortic valve regurgitation a safe alternative to valve replacement? J Thorac Cardiovasc Surg. 2004;127:645–53.CrossRefGoogle Scholar
  5. 5.
    Álvarez-Cabo R. Sparing aortic valve techniques. J Thoracic Dis. 2017;9(Suppl 6):S526–32.CrossRefGoogle Scholar
  6. 6.
    de Kerchove L, El Khoury G. Anatomy and pathophysiology of the ventriculo-aortic junction: implication in aortic valve repair surgery. Ann Cardiothorac Surg. 2013;2(1):57–64.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Erasmi AW, Sievers HH, Bechtel JF, et al. Remodeling or reimplantation for valve-sparing aortic root surgery? Ann Thorac Surg. 2007;83:S752–6. discussion S785-90.CrossRefGoogle Scholar
  8. 8.
    Patel ND, Weiss ES, Alejo DE, et al. Aortic root operations for Marfan syndrome: a comparison of the Bentall and valve-sparing procedures. Ann Thorac Surg. 2008;85(6):2003–10.CrossRefGoogle Scholar
  9. 9.
    Cabrol C, Cabrol A, Guiraudon G, et al. Treatment of aortic insufficiency by means of aortic annuloplasty. Arch Mal Coeur Vaiss. 1966;59:1305–12.PubMedGoogle Scholar
  10. 10.
    Anderson RH, Devine WA, Ho SY, Smith A, McKay R. The myth of the aortic annulus: the anatomy of the subaortic outflow tract. Ann Thorac Surg. 1991;52:640–6.CrossRefGoogle Scholar
  11. 11.
    Fattouch K, Castrovinci S, Murana G, Nasso G, Guccione F, Dioguardi P, Salardino M, Bianco G, Speziale G. Functional annulus remodelling using a prosthetic ring in tricuspid aortic valve repair: mid-term results. Interact Cardiovasc Thorac Surg. 2014;18:49–55.CrossRefGoogle Scholar
  12. 12.
    Kerchove L d, Vismara R, Mangini A, Fiore GB, Price J, Noirhomme P, Antona C, Khoury GE. In vitro comparison of three techniques for ventriculo-aortic junction annuloplasty. Eur J Cardiothorac Surg. 2012;41:1117–24.CrossRefGoogle Scholar
  13. 13.
    Fattouch K, Sampognaro R, Speziale G, Ruvolo G. New technique for aortic valve functional annulus reshaping using a handmade prosthetic ring. Ann Thorac Surg. 2011;91:1154–8.CrossRefGoogle Scholar
  14. 14.
    Mazzitelli D, Fischlein T, Scott Rankin J, Choi Y-H, Stamm C, Pfeiffer S, Pirk J, Detter C, Kroll J, Beyersdorf F, Griffin CD, Shrestha M, Nöbauer C, Crooke PS, Schreiber C, Lange R. Geometric ring annuloplasty as an adjunct to aortic valve repair: clinical investigation of the HAART 300 device. Eur J Cardiothorac Surg. 2016;49:987–93.CrossRefGoogle Scholar
  15. 15.
    Richardt D, Bucsky B, Charitos EI, Sievers H-H, Scharfschwerdt M. A novel rigid annuloplasty ring for aortic valve reconstruction: an in vitro investigation. Ann Thorac Surg. 2014;97:811–5.CrossRefGoogle Scholar
  16. 16.
    Schäfers H-J. Aortic annuloplasty: a new aspect of aortic valve repair (editorial comment). Eur J Cardiothorac Surg. 2012;41:1124–5.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Khalil Fattouch
    • 1
  • Tommaso Favara
    • 1
  • Francesco Guccione
    • 1
  • Pietro Dioguardi
    • 1
    Email author
  1. 1.GVM Care and Research, Cardiovascular DepartmentUniversity of PalermoPalermoItaly

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