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How to Manage a Stenosed Bicuspid Valve

  • Kohei AbeEmail author
  • Kohei Kawazoe
Chapter

Abstract

We believe that most patients with aortic valve stenosis are suitable candidates for valve replacement in the current era. However, valvuloplasty is indicated in some cases, such as young patients who will require reoperation for prosthetic valves over the long term and suffer from concomitant stenosis due to localized sclerotic lesions. The methods for valvuloplasty include decalcification and slicing of the sclerotic lesion, and partial cusp replacement using tissue such as the autologous pericardium. We present two applicable cases.

References

  1. 1.
    Cosgrove D, Ratliff N, Schaff H, Edwards W. Aortic valve decalcification: a new result. Ann Thorac Surg. 1990;49:689–90.CrossRefGoogle Scholar
  2. 2.
    Craver J. Aortic valve debridement by ultrasonic surgical aspirator: a word of caution. Ann Thorac Surg. 1990;49:746–53.CrossRefGoogle Scholar
  3. 3.
    Nezhad ZM, Kerchove L, Hechadi J, Tamer S, Boodhwani M, Poncelet A, et al. Aortic valve repair with patch in non-rheumatic disease: indication, techniques and durability. Eur J Cardiothorac Surg. 2014;46:997–1005.CrossRefGoogle Scholar
  4. 4.
    Tolan MJ, Daubeney PE, Slavik Z, Keeton BR, Salmon AP, Monro JL. Aortic valve repair of congenital stenosis with bovine pericardium. Ann Thorac Surg. 1997;63:465–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Cardiovascular CenterSt. Luke’s International HospitalTokyoJapan
  2. 2.Cardiovascular Disease CenterKansai Medical University Medical CenterOsakaJapan

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