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Aortic Valve

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Abstract

The aortic valve is a passive valve made up of three leaflets which assume the shape of half moons (semi-lunar). Opposite to the mitral valve, there is no true aortic fibrous annulus but a complex root made up of the aortic wall sinuses, left ventricular myocardium, and interleaflet fibrous triangles. The ostia of the coronary arteries are located within the aortic sinuses. The sino-tubular junction is an important anatomic landmark for surgical procedures. It may be that the leaflets of the aortic valve are not passive as they are rich in different types of nerve endings. The function and role of these “nerves” remain obscure.

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References

  1. Beppu S, Suzuki S, Matsuda H, Ohmori F, Nagata S, Miyatake K. Rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves. Am J Cardiol. 1993;71(4):322–7.

    Article  PubMed  CAS  Google Scholar 

  2. Pachulski RT, Chan KL. Progression of aortic valve dysfunction in 51 adult patients with congenital bicuspid aortic valve: assessment and follow up by Doppler echocardiography. Br Heart J. 1993;69(3):237–40.

    Article  PubMed  CAS  Google Scholar 

  3. Hahn RT, Roman MJ, Mogtader AH, Devereux RB. Association of aortic dilation with regurgitant, stenotic and functionally normal bicuspid aortic valves. J Am Coll Cardiol. 1992;19(2):283–8.

    Article  PubMed  CAS  Google Scholar 

  4. Gewillig M, Daenen W, Dumoulin M, Van der Hauwaert L. Rheologic genesis of discrete subvalvular aortic stenosis: a Doppler echocardiographic study. J Am Coll Cardiol. 1992;19(4):818–24.

    Article  PubMed  CAS  Google Scholar 

  5. Borow KM, Glagov S. Discrete subvalvular aortic stenosis: is the presence of upstream complex blood flow disturbances an important pathogenic factor? J Am Coll Cardiol. 1992;19(4):825–7.

    Article  PubMed  CAS  Google Scholar 

  6. Henein MY, O’Sullivan C, Sutton GC, Gibson DG, Coats AJ. Stress-induced left ventricular outflow tract obstruction: a potential cause of dyspnea in the elderly. J Am Coll Cardiol. 1997;30(5):1301–7.

    Article  PubMed  CAS  Google Scholar 

  7. Nasrallah AT, Nihill M. Supravalvular aortic stenosis. Echocardiographic features. Br Heart J. 1975;37(6):662–7.

    Article  PubMed  CAS  Google Scholar 

  8. Usher BW, Goulden D, Murgo JP. Echocardiographic detection of supravalvular aortic stenosis. Circulation. 1974;49(6):1257–9.

    PubMed  CAS  Google Scholar 

  9. Weyman AE, Caldwell RL, Hurwitz RA, Girod DA, Dillon JC, Feigenbaum H, et al. Cross-sectional echocardiographic characterization of aortic obstruction. 1. Supravalvular aortic stenosis and aortic hypoplasia. Circulation. 1978;57(3):491–7.

    PubMed  CAS  Google Scholar 

  10. Lindroos M, Kupari M, Heikkila J, Tilvis R. Prevalence of aortic valve abnormalities in the elderly: an echocardiographic study of a random population sample. J Am Coll Cardiol. 1993;21(5):1220–5.

    Article  PubMed  CAS  Google Scholar 

  11. Brandenburg Jr RO, Tajik AJ, Edwards WD, Reeder GS, Shub C, Seward JB. Accuracy of 2-dimensional echocardiographic ­diagnosis of congenitally bicuspid aortic valve: echocardiographic-anatomic correlation in 115 patients. Am J Cardiol. 1983;51(9):1469–73.

    Article  PubMed  Google Scholar 

  12. Rossebø AB, Pedersen TR, Boman K, Brudi P, Chambers JB, Egstrup K, et al. Intensive lipid lowering with simvastatin and ezetimibe in aortic stenosis. N Engl J Med. 2008;359(13):1343–56. Epub Sep 2, 2008.

    Article  PubMed  Google Scholar 

  13. Chan KL, Teo K, Dumesnil JG, Ni A, Tam J, ASTRONOMER Investigators. Effect of Lipid lowering with rosuvastatin on progression of aortic stenosis: results of the aortic stenosis progression observation: measuring effects of rosuvastatin (ASTRONOMER) trial. Circulation. 2010;121(2):306–14. Epub Jan 4, 2010.

    Article  PubMed  CAS  Google Scholar 

  14. Redlich K, Khaladj N, Peterss S, Pichlmaier M, Shrestha M, Hoy L, et al. Conventional aortic valve replacement in patients with concomitant coronary artery disease and previous coronary artery bypass grafting in the era of interventional approaches. Eur J Cardiothorac Surg. 2011;40(2):455–62. Epub Jan 21, 2011.

    PubMed  Google Scholar 

  15. Unger P, Magne J, Vanden Eynden F, Plein D, Van Camp G, Pasquet A, et al. Impact of prosthesis-patient mismatch on mitral regurgitation after aortic valve replacement. Heart. 2010;96(20):1627–32.

    Article  PubMed  CAS  Google Scholar 

  16. Chang S, Clements S, Chang J. Aortic stenosis: echocardiographic cusp separation and surgical description of aortic valve in 22 patients. Am J Cardiol. 1977;39(4):499–504.

    Article  PubMed  CAS  Google Scholar 

  17. Lesbre JP, Scheuble C, Kalisa A, Lalau JD, Andrejak MT. Echocardiography in the diagnosis of severe aortic valve stenosis in adults. Arch Mal Coeur Vaiss. 1983;76(1):1–12.

    PubMed  CAS  Google Scholar 

  18. Williams DE, Sahn DJ, Friedman WF. Cross-sectional echocardiographic localization of sites of left ventricular outflow tract obstruction. Am J Cardiol. 1976;37(2):250–5.

    Article  PubMed  CAS  Google Scholar 

  19. Hatle L, Angelsen BA, Tromsdal A. Non-invasive assessment of aortic stenosis by Doppler ultrasound. Br Heart J. 1980;43(3):284–92.

    Article  PubMed  CAS  Google Scholar 

  20. Berger M, Berdoff RL, Gallerstein PE, Goldberg E. Evaluation of aortic stenosis by continuous wave Doppler ultrasound. J Am Coll Cardiol. 1984;3(1):150–6.

    Article  PubMed  CAS  Google Scholar 

  21. Currie PJ, Seward JB, Chan KL, Fyfe DA, Hagler DJ, Mair DD, et al. Continuous wave Doppler determination of right ventricular pressure: a simultaneous Doppler-catheterization study in 127 patients. J Am Coll Cardiol. 1985;6(4):750–6.

    Article  PubMed  CAS  Google Scholar 

  22. Hatle L, Angelsen BA. Doppler ultrasound in cardiology. 2nd ed. Philadelphia: Lea & Febiger; 1985.

    Google Scholar 

  23. Lima CO, Sahn DJ, Valdes-Cruz LM, Allen HD, Goldberg SJ, Grenadier E, et al. Prediction of the severity of left ventricular outflow tract obstruction by quantitative two-dimensional echocardiographic Doppler studies. Circulation. 1983;68(2):348–54.

    Article  PubMed  CAS  Google Scholar 

  24. Pellikka PA, Nishimura RA, Bailey KR, Tajik AJ. The natural history of adults with asymptomatic, hemodynamically significant aortic stenosis. J Am Coll Cardiol. 1990;15(5):1012–7.

    Article  PubMed  CAS  Google Scholar 

  25. Kosturakis D, Allen HD, Goldberg SJ, Sahn DJ, Valdes-Cruz LM. Noninvasive quantification of stenotic semilunar valve areas by Doppler echocardiography. J Am Coll Cardiol. 1984;3(5):1256–62.

    Article  PubMed  CAS  Google Scholar 

  26. Richards KL, Cannon SR, Miller JF, Crawford MH. Calculation of aortic valve area by Doppler echocardiography: a direct application of the continuity equation. Circulation. 1986;73(5):964–9.

    Article  PubMed  CAS  Google Scholar 

  27. Zoghbi WA, Farmer KL, Soto JG, Nelson JG, Quinones MA. Accurate noninvasive quantification of stenotic aortic valve area by Doppler echocardiography. Circulation. 1986;73(3):452–9.

    Article  PubMed  CAS  Google Scholar 

  28. Oh JK, Taliercio CP, Holmes Jr DR, Reeder GS, Bailey KR, Seward JB, et al. Prediction of the severity of aortic stenosis by Doppler aortic valve area determination: prospective Doppler-catheterization correlation in 100 patients. J Am Coll Cardiol. 1988;11(6):1227–34.

    Article  PubMed  CAS  Google Scholar 

  29. Panidis IP, Segal BL. Aortic valve disease in the elderly. In: Frankl WS, Brest AN, editors. Valvular heart disease: comprehensive ­evaluation and management. Philadelphia: F.A. Davis; 1985. p. 289–311.

    Google Scholar 

  30. Collinson J, Flather M, Pepper JR, Gibson DG, Henein M. Reversal of ventricular dysfunction and subendocardial ischaemia following aortic valve replacement in patients with severe aortic stenosis. Circulation. 2000;102(18):11–661.

    Google Scholar 

Ref Type: Abstract

  1. Henein MY, Xiao HB, Brecker SJ, Gibson DG. Berheim “a” wave: obstructed right ventricular inflow or atrial cross talk? Br Heart J. 1993;69(5):409–13.

    Article  PubMed  CAS  Google Scholar 

  2. Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009;30(19):2369–413. Epub Aug 27, 2009. No abstract available.

    Article  PubMed  Google Scholar 

  3. Das P, Chambers J. Predictors of outcome in asymptomatic aortic stenosis. N Engl J Med. 2001;344(3):227–9.

    Article  PubMed  CAS  Google Scholar 

  4. Schwammenthal E, Vered Z, Moshkowitz Y, Rabinowitz B, Ziskind Z, Smolinski AK, et al. Dobutamine echocardiography in patients with aortic stenosis and left ventricular dysfunction: predicting outcome as a function of management strategy. Chest. 2001;119(6):1766–77.

    Article  PubMed  CAS  Google Scholar 

  5. Cowley CG, Dietrich M, Mosca RS, Bove EL, Rocchini AP, Lloyd TR. Balloon valvuloplasty versus transventricular dilation for neonatal critical aortic stenosis. Am J Cardiol. 2001;87(9):1125–7, A10.

    Article  PubMed  CAS  Google Scholar 

  6. Buchwald AB, Meyer T, Scholz K, Schorn B, Unterberg C. Efficacy of balloon valvuloplasty in patients with critical aortic stenosis and cardiogenic shock – the role of shock duration. Clin Cardiol. 2001;24(3):214–8.

    Article  PubMed  CAS  Google Scholar 

  7. Blitz LR, Gorman M, Herrmann HC. Results of aortic valve replacement for aortic stenosis with relatively low transvalvular pressure gradients. Am J Cardiol. 1998;81(3):358–62.

    Article  PubMed  CAS  Google Scholar 

  8. Connolly HM, Oh JK, Orszulak TA, Osborn SL, Roger VL, Hodge DO, et al. Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction. Prognostic indicators. Circulation. 1997;95(10):2395–400.

    PubMed  CAS  Google Scholar 

  9. Connolly HM, Oh JK, Schaff HV, Roger VL, Osborn SL, Hodge DO, et al. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunction: result of aortic valve ­replacement in 52 patients. Circulation. 2000;101(16):1940–6.

    PubMed  CAS  Google Scholar 

  10. Pereira JJ, Lauer MS, Bashir M, Afridi I, Blackstone EH, Stewart WJ, et al. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction. J Am Coll Cardiol. 2002;39(8):1356–63.

    Article  PubMed  Google Scholar 

  11. Hamamoto M, Bando K, Kobayashi J, Satoh T, Sasako Y, Niwaya K, et al. Durability and outcome of aortic valve replacement with mitral valve repair versus double valve replacement. Ann Thorac Surg. 2003;75(1):28–33.

    Article  PubMed  Google Scholar 

  12. John S, Ravikumar E, John CN, Bashi VV. 25-year experience with 456 combined mitral and aortic valve replacement for rheumatic heart disease. Ann Thorac Surg. 2000;69(4):1167–72.

    Article  PubMed  CAS  Google Scholar 

  13. Milano A, Guglielmi C, De Carlo M, Di Gregorio O, Borzoni G, Verunelli F, et al. Valve-related complications in elderly patients with biological and mechanical aortic valves. Ann Thorac Surg. 1998;66(6 Suppl):S82–7.

    Article  PubMed  CAS  Google Scholar 

  14. Collinson J, Henein M, Flather M, Pepper JR, Gibson DG. Valve replacement for aortic stenosis in patients with poor left ventricular function: comparison of early changes with stented and stentless valves. Circulation. 1999;100(19 Suppl):II1–5.

    PubMed  CAS  Google Scholar 

  15. Jin XY, Zhang ZM, Gibson DG, Yacoub MH, Pepper JR. Effects of valve substitute on changes in left ventricular function and hypertrophy after aortic valve replacement. Ann Thorac Surg. 1996;62(3):683–90.

    Article  PubMed  CAS  Google Scholar 

  16. Jin XY, Pepper JR, Gibson DG, Yacoub MH. Early changes in the time course of myocardial contraction after correcting aortic regurgitation. Ann Thorac Surg. 1999;67(1):139–45.

    Article  PubMed  CAS  Google Scholar 

  17. Rajappan K, Melina G, Bellenger NG, Amrani M, Khaghani A, Pennell DJ, et al. Evaluation of left ventricular function and mass after Medtronic Freestyle versus homograft aortic root replacement using cardiovascular magnetic resonance. J Heart Valve Dis. 2002;11(1):60–5.

    PubMed  Google Scholar 

  18. Carr-White GS, Glennan S, Edwards S, Ferdinand FD, Desouza AC, Pepper JR, et al. Pulmonary autograft versus aortic homograft for rereplacement of the aortic valve: results from a subset of a ­prospective randomized trial. Circulation. 1999;100(19 Suppl):II103–6.

    PubMed  CAS  Google Scholar 

  19. Grocott-Mason RM, Lund O, Elwidaa H, Mazhar R, Chandrasakeran V, Mitchell AG, et al. Long-term results after aortic valve ­replacement in patients with congestive heart failure. Homografts vs prosthetic valves. Eur Heart J. 2000;21(20):1698–707.

    Article  PubMed  CAS  Google Scholar 

  20. Oury JH, Doty DB, Oswalt JD, Knapp JF, Mackey SK, Duran CM. Cardiopulmonary response to maximal exercise in young athletes following the Ross procedure. Ann Thorac Surg. 1998;66(6 Suppl):S153–4.

    Article  PubMed  CAS  Google Scholar 

  21. Porter GF, Skillington PD, Bjorksten AR, Morgan JG, Yapanis AG, Grigg LE. Exercise hemodynamic performance of the pulmonary autograft following the Ross procedure. J Heart Valve Dis. 1999;8(5):516–21.

    PubMed  CAS  Google Scholar 

  22. Laske A, Jenni R, Maloigne M, Vassalli G, Bertel O, Turina MI. Pressure gradients across bileaflet aortic valves by direct measurement and echocardiography. Ann Thorac Surg. 1996;61(1):48–57.

    Article  PubMed  CAS  Google Scholar 

  23. Morocutti G, Gelsomino S, Spedicato L, Frassani R, Bernardi G, Da Col P, et al. Intraoperative transesophageal echo-Doppler evaluation of stentless aortic xenografts. Incidence and significance of moderate gradients. Cardiovasc Surg. 2002;10(4):328–32.

    Article  PubMed  CAS  Google Scholar 

  24. Sousa RC, Garcia-Fernandez MA, Moreno M, Tizon M, Valdeviesos M, Rubio M, et al. The contribution and usefulness of routine intraoperative transesophageal echocardiography in cardiac surgery. An analysis of 130 consecutive cases. Rev Port Cardiol. 1995;14(1):15–27.

    PubMed  CAS  Google Scholar 

  25. Doguet F, Godin M, Lebreton G, Eltchaninoff H, Cribier A, Bessou JP, et al. Aortic valve replacement after percutaneous valvuloplasty – an approach in otherwise inoperable patients. Eur J Cardiothorac Surg. 2010;38(4):394–9. Epub Mar 2, 2010.

    Article  PubMed  Google Scholar 

  26. Vahanian A, Alfieri OR, Al-Attar N, Antunes MJ, Bax J, Cormier B, et al. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur J Cardiothorac Surg. 2008;34(1):1–8. Epub May 27, 2008.

    Article  PubMed  Google Scholar 

  27. Zhao Y, Lindqvist P, Nilsson J, Holmgren A, Näslund U, Henein MY. Trans-catheter aortic valve implantation – early recovery of left and preservation of right ventricular function. Interact Cardiovasc Thorac Surg. 2011;12(1):35–9. Epub Oct 18, 2010.

    Article  PubMed  Google Scholar 

  28. Amato MC, Moffa PJ, Werner KE, Ramires JA. Treatment decision in asymptomatic aortic stenosis: role of exercise testing. Heart. 2001;86:381–6.

    Article  PubMed  CAS  Google Scholar 

  29. Rosenhek R, Binder T, Porenta G, Lang I, Christ G, Schemper M, et al. Predictors of outcome in severe, asymptomatic aortic stenosis. N Engl J Med. 2000;343:611–7.

    Article  PubMed  CAS  Google Scholar 

  30. Owen A, Henein MY. Challenges in the management of asymptomatic aortic stenosis. Eur J Cardiothorac Surg. 2011; 40:848–850.

    Google Scholar 

  31. Allen WM, Matloff JM, Fishbein MC. Myxoid degeneration of the aortic valve and isolated severe aortic regurgitation. Am J Cardiol. 1985;55(4):439–44.

    Article  PubMed  CAS  Google Scholar 

  32. Krivokapich J, Child JS, Skorton DJ. Flail aortic valve leaflets: M-mode and two-dimensional echocardiographic manifestations. Am Heart J. 1980;99(4):425–37.

    Article  PubMed  CAS  Google Scholar 

  33. DePace NL, Nestico PF, Kotler MN, Mintz GS, Kimbiris D, Goel IP, et al. Comparison of echocardiography and angiography in determining the cause of severe aortic regurgitation. Br Heart J. 1984;51(1):36–45.

    Article  PubMed  CAS  Google Scholar 

  34. Imaizumi T, Orita Y, Koiwaya Y, Hirata T, Nakamura M. Utility of two-dimensional echocardiography in the differential diagnosis of the etiology of aortic regurgitation. Am Heart J. 1982;103(5):887–96.

    Article  PubMed  CAS  Google Scholar 

  35. Botvinick EH, Schiller NB, Wickramasekaran R, Klausner SC, Gertz E. Echocardiographic demonstration of early mitral valve closure in severe aortic insufficiency. Its clinical implications. Circulation. 1975;51(5):836–47.

    PubMed  CAS  Google Scholar 

  36. Morganroth J, Perloff JK, Zeldis SM, Dunkman WB. Acute severe aortic regurgitation. Pathophysiology, clinical recognition, and management. Ann Intern Med. 1977;87(2):223–32.

    PubMed  CAS  Google Scholar 

  37. Gibson DG. Valve disease. In: Weatherall DJ, editor. Oxford textbook of medicine. Oxford: Oxford Medical Publications; 1996. p. 2451.

    Google Scholar 

  38. Henry WL, Bonow RO, Rosing DR, Epstein SE. Observations on the optimum time for operative intervention for aortic regurgitation. II. Serial echocardiographic evaluation of asymptomatic patients. Circulation. 1980;61(3):484–92.

    PubMed  CAS  Google Scholar 

  39. Robertson WS, Stewart J, Armstrong WF, Dillon JC, Feigenbaum H. Reverse doming of the anterior mitral leaflet with severe aortic regurgitation. J Am Coll Cardiol. 1984;3(2 Pt 1):431–6.

    Article  PubMed  CAS  Google Scholar 

  40. Esper RJ. Detection of mild aortic regurgitation by range-gated pulsed Doppler echocardiography. Am J Cardiol. 1982;50(5):1037–43.

    Article  PubMed  CAS  Google Scholar 

  41. Ciobanu M, Abbasi AS, Allen M, Hermer A, Spellberg R. Pulsed Doppler echocardiography in the diagnosis and estimation of severity of aortic insufficiency. Am J Cardiol. 1982;49(2):339–43.

    Article  PubMed  CAS  Google Scholar 

  42. Tribouilloy C, Shen WF, Slama M, Rey JL, Dufosse H, Choquet D, et al. Assessment of severity of aortic regurgitation by M-mode colour Doppler flow imaging. Eur Heart J. 1991;12(3):352–6.

    PubMed  CAS  Google Scholar 

  43. Beyer RW, Ramirez M, Josephson MA, Shah PM. Correlation of continuous-wave Doppler assessment of chronic aortic regurgitation with hemodynamics and angiography. Am J Cardiol. 1987;60(10):852–6.

    Article  PubMed  CAS  Google Scholar 

  44. Labovitz AJ, Ferrara RP, Kern MJ, Bryg RJ, Mrosek DG, Williams GA. Quantitative evaluation of aortic insufficiency by continuous wave Doppler echocardiography. J Am Coll Cardiol. 1986;8(6):1341–7.

    Article  PubMed  CAS  Google Scholar 

  45. Masuyama T, Kodama K, Kitabatake A, Nanto S, Sato H, Uematsu M, et al. Noninvasive evaluation of aortic regurgitation by continuous-wave Doppler echocardiography. Circulation. 1986;73(3):460–6.

    Article  PubMed  CAS  Google Scholar 

  46. Masuyama T, Kitabatake A, Kodama K, Uematsu M, Nakatani S, Kamada T. Semiquantitative evaluation of aortic regurgitation by Doppler echocardiography: effects of associated mitral stenosis. Am Heart J. 1989;117(1):133–9.

    Article  PubMed  CAS  Google Scholar 

  47. Hoffmann A, Pfisterer M, Stulz P, Schmitt HE, Burkart F, Burckhardt D. Non-invasive grading of aortic regurgitation by Doppler ultrasonography. Br Heart J. 1986;55(3):283–5.

    Article  PubMed  CAS  Google Scholar 

  48. Quinones MA, Young JB, Waggoner AD, Ostojic MC, Ribeiro LG, Miller RR. Assessment of pulsed Doppler echocardiography in detection and quantification of aortic and mitral regurgitation. Br Heart J. 1980;44(6):612–20.

    Article  PubMed  CAS  Google Scholar 

  49. Enriquez-Sarano M, Seward JB, Bailey KR, Tajik AJ. Effective regurgitant orifice area: a noninvasive Doppler development of an old hemodynamic concept. J Am Coll Cardiol. 1994;23(2):443–51.

    Article  PubMed  CAS  Google Scholar 

  50. Kitabatake A, Ito H, Inoue M, Tanouchi J, Ishihara K, Morita T, et al. A new approach to noninvasive evaluation of aortic regurgitant fraction by two-dimensional Doppler echocardiography. Circulation. 1985;72(3):523–9.

    Article  PubMed  CAS  Google Scholar 

  51. Reimold SC, Ganz P, Bittl JA, Thomas JD, Thoreau D, Plappert TJ, et al. Effective aortic regurgitant orifice area: description of a method based on the conservation of mass. J Am Coll Cardiol. 1991;18(3):761–8.

    Article  PubMed  CAS  Google Scholar 

  52. Zhang Y, Nitter-Hauge S, Ihlen H, Rootwelt K, Myhre E. Measurement of aortic regurgitation by Doppler echocardiography. Br Heart J. 1986;55(1):32–8.

    Article  PubMed  CAS  Google Scholar 

  53. Acar J, Michel PL, Luxereau P, Abou JS, Cazaux P, Dorent R, et al. How to manage patients with severe left ventricular dysfunction and valvular regurgitation. J Heart Valve Dis. 1996;5(4):421–9.

    PubMed  CAS  Google Scholar 

  54. Borer JS. Aortic valve replacement for the asymptomatic patient with aortic regurgitation: a new piece of the strategic puzzle. Circulation. 2002;106(21):2637–9.

    Article  PubMed  Google Scholar 

  55. Bonow RO, Dodd JT, Maron BJ, O’Gara PT, White GG, McIntosh CL, et al. Long-term serial changes in left ventricular function and reversal of ventricular dilatation after valve replacement for chronic aortic regurgitation. Circulation. 1988;78(5 Pt 1):1108–20.

    Article  PubMed  CAS  Google Scholar 

  56. Bonow RO, Lakatos E, Maron BJ, Epstein SE. Serial long-term assessment of the natural history of asymptomatic patients with chronic aortic regurgitation and normal left ventricular systolic function. Circulation. 1991;84(4):1625–35.

    PubMed  CAS  Google Scholar 

  57. Borow KM, Green LH, Mann T, Sloss LJ, Braunwald E, Collins JJ, et al. End-systolic volume as a predictor of postoperative left ­ventricular performance in volume overload from valvular regurgitation. Am J Med. 1980;68(5):655–63.

    Article  PubMed  CAS  Google Scholar 

  58. Carabello BA, Spann JF. The uses and limitations of end-systolic indexes of left ventricular function. Circulation. 1984;69(5):1058–64.

    Article  PubMed  CAS  Google Scholar 

  59. Jin XY, Pillai R, Westaby S. Medium-term determinants of left ventricular mass index after stentless aortic valve replacement. Ann Thorac Surg. 1999;67(2):411–6.

    Article  PubMed  CAS  Google Scholar 

  60. Gott VL, Greene PS, Alejo DE, Cameron DE, Naftel DC, Miller DC, et al. Replacement of the aortic root in patients with Marfan’s syndrome. N Engl J Med. 1999;340(17):1307–13.

    Article  PubMed  CAS  Google Scholar 

  61. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax. 1968;23(4):338–9.

    Article  PubMed  CAS  Google Scholar 

  62. David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg. 1992;103(4):617–21.

    PubMed  CAS  Google Scholar 

  63. Yacoub MH, Gehle P, Chandrasekaran V, Birks EJ, Child A, Radley-Smith R. Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg. 1998;115(5):1080–90.

    Article  PubMed  CAS  Google Scholar 

  64. Coady MA, Rizzo JA, Hammond GL, Mandapati D, Darr U, Kopf GS, et al. What is the appropriate size criterion for resection of thoracic aortic aneurysms? J Thorac Cardiovasc Surg. 1997;113(3):476–91.

    Article  PubMed  CAS  Google Scholar 

  65. Lepore V, Jeppsson A, Radberg G, Mantovani V, Bugge M. Aortic surgery in patients with marfan syndrome: long-term survival, morbidity and function. J Heart Valve Dis. 2001;10(1):25–30.

    PubMed  CAS  Google Scholar 

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Electronic Supplementary material

Parasternal long axis view from a patient with bicuspid ­aortic valve disease

video 1.avi (5,551 KB)

Apical 5 chamber view from a patient with calcific aortic valve disease

video 2.avi (5,298 KB)

TOE 3D images of the aortic root in a patient with severe aortic stenosis undergoing TAVI procedure with the catheter crossing the calcified valve

TAVI1.avi (13,183 KB)

76621_2_En_2_MOESM4_ESM.mpg

Same views with colour Doppler

TAVI2.avi (1,131 KB)

Apical views from a patient with severe aortic stenosis and poor LV function

video 3.avi (2,138 KB)

Parasternal long axis views from a patient with severe ­aortic regurgitation and poor LV function

video 4.avi (8,288 KB)

Video 2.TAVI2

Same views with colour Doppler

TAVI2.avi (1,131 KB)

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Henein, M.Y., Sheppard, M., Pepper, J.R., Rigby, M. (2012). Aortic Valve. In: Henein, M. (eds) Clinical Echocardiography. Springer, London. https://doi.org/10.1007/978-1-84882-521-5_2

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