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Surgical Management of Aortic Valve Stenosis

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Aortic Stenosis

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Abstract

The time-tested management of patients with severe aortic stenosis has been surgical aortic valve replacement (sAVR). The advances in AVR have progressed over the last 60 years with developments in the heart lung machine, type of valve prosthesis, minimally invasive approaches, and transcatheter techniques. There are currently over 80 types of prosthetic valves available for use. This chapter will provide an overview of the various surgical approaches for AVR as well as the types of aortic valve prosthesis.

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References

  1. Hufnagel CA, Harvey WP, Rabil PJ, McDermott F. Surgical correction of aortic insufficiency. Surgery. 1954;35:673–83.

    CAS  PubMed  Google Scholar 

  2. Vlahakes GJ. Mechanical heart valves: the test of time. Circulation. 2007;116:1759–60.

    Article  PubMed  Google Scholar 

  3. Edmunds Jr LH. Evolution of prosthetic heart valves. Am Heart J. 2001;141:849–55.

    Article  PubMed  Google Scholar 

  4. Apparatus for draining blood from a surgical wound and transmission to a heart-lung machine US 3799702 A.

    Google Scholar 

  5. Lower RR, Stofer RC, Shumway NE. Autotransplantation of the pulmonic valve into the aorta. J Thorac Cardiovasc Surg. 1960;39(5):680–7.

    CAS  PubMed  Google Scholar 

  6. Pillsbury RC, Shumway NE. Replacement of the aortic valve with the autologous pulmonic valve. Surg Forum. 1966;17:176–7.

    CAS  PubMed  Google Scholar 

  7. Ross DN. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet. 1967;2(7523):956–8.

    Article  CAS  PubMed  Google Scholar 

  8. Mokhles MM, Körtke H, Stierle U, Wagner O, Charitos EI, Bogers AJJC, Gummert J, Sievers HH, Takkenberg JJM. Survival comparison of the ross procedure and mechanical valve replacement with optimal self-management anticoagulation therapy. Propensity-matched cohort study. Circulation. 2011;123:31–8.

    Article  PubMed  Google Scholar 

  9. Pibarot P, Dumesnil JG. Prosthetic heart valves: selection of the optimal prosthesis and long-term management. Circulation. 2009;119:1034–48.

    Article  PubMed  Google Scholar 

  10. Kobayashi J. Stentless aortic valve replacement: an update. Vasc Health Risk Manag. 2011;7:345–51.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Chiang YP, Chikwe J, Moskowitz AJ, Itagaki S, Adams DH, Egorova NN. Survival and long-term outcomes following bioprosthetic vs mechanical aortic valve replacement in patients aged 50 to 69 years. JAMA. 2014;312(13):1323–9.

    Article  CAS  PubMed  Google Scholar 

  12. Dunning J, Graham RJ, Thambyrajah J, et al. Stentless vs stented aortic valve bioprostheses: a prospective randomized controlled trial. Eur Heart J. 2007;28:2369–74.

    Article  CAS  PubMed  Google Scholar 

  13. Luciani GB, Auriemma S, Santini F, et al. Comparison of late outcome after stentless versus stented xenograft aortic valve replacement. Semin Thorac Cardiovasc Surg. 2001;13(Suppl I):I136–42.

    Google Scholar 

  14. Tamin M, Bove T, Van Belleghem Y, et al. Stentless vs stented aortic valve replacement: left ventricular mass regression. Asian Cardiovasc Thorac Ann. 2005;13:112–8.

    Article  Google Scholar 

  15. Borger MA, Carson SM, Ivanov J, et al. Stentless aortic valve are hemodynamically superior to stented valves during mid-term follow-up: a large retrospective study. Ann Thorac Surg. 2005;80:2180–5.

    Article  PubMed  Google Scholar 

  16. Bové T, Bellenghem YV, François K, et al. Stentless and stented aortic valve replacement in elderly patients: factors affecting midterm clinical and hemodynamical outcomes. Eur J Cardio Thorac Surg. 2006;30:706–15.

    Article  Google Scholar 

  17. Cohen G, Christakis GT, Joyner CD, et al. Are stentless valves hemodynamically superior to stented valves? A prospective randomized trial. Ann Thorac Surg. 2002;73:767–75.

    Article  PubMed  Google Scholar 

  18. Kunadian B, Vijayalakshmi K, Thornley AR, et al. Meta-analysis of valve hemodynamics and left ventricular mass regression for stentless versus stented aortic valves. Ann Thorac Surg. 2007;84:73–8.

    Article  PubMed  Google Scholar 

  19. Gulbins H, Florath I, Ennker J. Cerebrovascular events after stentless aortic valve replacement during a 9-year follow-up period. Ann Thorac Surg. 2009;86:769–73.

    Article  Google Scholar 

  20. Cosgrove DM, Ratliff NB, Schaff HV, Edwards WD. Aortic valve decalcification: history repeated with a new result. Ann Thorac Surg. 1990;49:689–90.

    Article  CAS  PubMed  Google Scholar 

  21. Andersen HR, Knudsen LL, Hasenkam JM. Transluminal implantation of artificial heart valves: description of a new expandable aortic valve and initial results with implantation by catheter technique in closed chest pigs. Eur Heart J. 1992;13:704–8.

    CAS  PubMed  Google Scholar 

  22. Cribier A, Eltchaninoff H, Bash A, Borenstein N, Tron C, Bauer F, Derumeaux G, Anselme F, Laborde F, Leon MB. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation. 2002;106:3006–8.

    Article  PubMed  Google Scholar 

  23. Johnston DR, Atik FA, Rajeswaran J, et al. Outcomes of less invasive J-incision approach to aortic valve surgery. JTCVS. 2012;144(4):852–8.

    Google Scholar 

  24. Glauber M, Miceli A, Gilmanov D, et al. Right anterior minithoracotomy versus conventional aortic valve replacement: a propensity score matched study. JTCVS. 2012;145(5):1222–6.

    Google Scholar 

  25. Miceli A, Murzi M, Gilmanov D, et al. Minimally invasive aortic valve replacement using right minithoracotomy is associated with better outcomes than ministernotomy. JTCVS. 2014;148(1):133–7.

    Google Scholar 

  26. Suri RM, Burkhart HM, Schaff HV. Robot-assisted aortic valve replacement using a novel sutureless bovine pericardial prosthesis: proof of concept as an alternative to percutaneous implantation. Innovations (Phila). 2010;5(6):419–23.

    Google Scholar 

  27. Folliguet TA, Vanhuyse F, Konstantinos Z, Laborde F. Early experience with robotic aortic valve replacement. Eur J Cardiothorac Surg. 2005;28(1):172–3.

    Article  PubMed  Google Scholar 

  28. Gilmanov D, Miceli A, Ferrarini M, et al. Aortic valve replacement through right anterior minithoracotomy: can sutureless technology improve clinical outcomes? Ann Thorac Surg. 2014;98(5):1585–92.

    Article  PubMed  Google Scholar 

  29. Rubino AS, Santarpino G, De Praetere H, et al. Early and intermediate outcome after aortic valve replacement with a sutureless bioprosthesis: results of a multicenter study. JTCVS. 2014;148(3):865–71.

    Google Scholar 

  30. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RRA, O’Gara PT, Ruiz CE, Skubas NJ, Sorajja P, Sundt TM, Thomas JM. 2014 ACC/AHA guideline for the management of patients with valvular heart disease. J Am Coll Cardiol. 2014. doi:10.1016/j.jacc.2014.02.536.

    Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Beaumont Health, Oakland University School of Medicine, Royal Oak, MI, USA

    Francis L. Shannon MD & Marc P. Sakwa

  2. Department of Cardiovascular Surgery, Beaumont Health, Royal Oak, MI, USA

    Robert L. Johnson PA-C, BS-Medicine

Authors
  1. Francis L. Shannon MD
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  2. Marc P. Sakwa
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  3. Robert L. Johnson PA-C, BS-Medicine
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Corresponding author

Correspondence to Francis L. Shannon MD .

Editor information

Editors and Affiliations

  1. Interventional Cardiology Research, Beaumont Health System, Royal Oak, Michigan, USA

    Amr E. Abbas

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© 2015 Springer-Verlag London

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Shannon, F.L., Sakwa, M.P., Johnson, R.L. (2015). Surgical Management of Aortic Valve Stenosis. In: Abbas, A. (eds) Aortic Stenosis. Springer, London. https://doi.org/10.1007/978-1-4471-5242-2_12

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  • DOI: https://doi.org/10.1007/978-1-4471-5242-2_12

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5241-5

  • Online ISBN: 978-1-4471-5242-2

  • eBook Packages: MedicineMedicine (R0)

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