Abstract
Surgery on the aortic valve is the second most common cardiac procedure in the adults. Aortic valve disease in the adults usually manifests as aortic valve stenosis, aortic regurgitation, or as infective aortic valve endocarditis. In this chapter, the natural history and pathophysiology of aortic valve disease in the adults are briefly discussed. Important aspects of the surgical anatomy and diagnostic procedures used to guide patient management are presented. Surgical techniques to repair or replace the aortic valve with either mechanical (mechanical aortic valves) or biological material (stented, stentless, and sutureless biological valves as well as homograft and autograft procedures) are presented in detail as well as their outcomes.
References
Aagaard J, Tingleff J, Andersen PV, Hansen CN (2003) Fourteen years’ experience with the CarboMedics valve in young adults with aortic valve disease. J Heart Valve Dis 12:81–86
Agarwal A, Kini AS, Attanti S et al. (2005) Results of repeat balloon valvuloplasty for treatment of aortic stenosis in patients aged 59 to 104 years. Am J Cardiol 95:43–47
Aklog L, Carr-White GS, Birks EJ, Yacoub MH (2000) Pulmonary autograft versus aortic homograft for aortic valve replacement: interim results from a prospective randomized trial. J Heart Valve Dis 9:176–188
Ali A, Halstead JC, Cafferty F et al. (2006) Are stentless valves superior to modern stented valves? A prospective randomized trial. Circulation 114(SuppI):1535–1540
Arata K, Iguro Y, Masuda H et al. (2002) Long-term follow up in patients receiving a small aortic valve prosthesis. J Heart Valve Dis 11:780–784
Aupart MR, Mirza A, Meurisse YA, Sirinelli AL, Neville PH, Marchand MA (2006) Perimount pericardial bioprosthesis for aortic calcified stenosis: 18-years experience with 1133 patients. J Heart Valve Dis 15:768–775
Auriemma S, Donofrio A, Brunelli M et al. (2006) Long-term results of aortic valve replacement with Edwards Prima Plus stentless bioprosthesis: eleven years’ follow-up. J Heart Valve Dis 15:691–695
Bail DH, Walker T, Gruler M, Ziemer G (2007) Preserved Windkessel function in patients following reduction aortoplasty of the ascending aorta. Echocardiography 24:457–463
Bakir I, Casselman FP, Wellens F et al. (2006) Minimal invasive versus standard approach aortic valve replacement: a study in 506 patients. Ann Thorac Surg 81:1599–1604
Barratt-Boyes BG (1964) Homograft aortic valve replacement in aortic incompetence and stenosis. Thorax 19:131–150
Bartels C, Leyh RG, Bechtel MJF, Joubert-Hübner E, Sievers H-H (1998) Discrepancies between sizer and valve dimensions: implications for small aortic root. Ann Thorac Surg 65:1631–1633
Bashore TM, Khandheria B (2004) Valvular disease. J Am Coll Cardiol 44(Suppl A):7A–9A
Beholz S, Claus B, Dushe S, Konertz WF (2006) Operative technique and early hemodynamic results with the Freedom Solo valve. J Heart Valve Dis 15:429–432
Bekeredjian R, Grayburn PA (2005) Valvular heart disease: aortic regurgitation. Circulation 112:125–134
Bentall H, De Bono A (1968) A technique for complete replacement of the ascending aorta. Thorax 23:338–339
Bhudia SK, McCarthy PM, Kumpati GS et al. (2007) Improved outcome after aortic valve surgery for chronic aortic regurgitation with severe left ventricular dysfunction. J Am Coll Cardiol 49:1465–1471
Bigelow WG, Trimble AS, Auger P, Marquis J, Wigle ED (1966) The ventriculomyotomy operation for muscular subaortic stenosis. J Thorac Cardiovasc Surg 52:514–525
Birk E, Sharoni E, Dagan O et al. (2004) The Ross procedure as the surgical treatment of active valve endocarditis. J Heart Valve Dis 13:73–77
Blais C, Dumesnil JG, Baillot R, Simard S, Doyle D, Pibarot P (2003) Impact of valve prosthesis-patient mismatch on short term mortality after aortic valve replacement. Circulation 108:983–988
Böhm JO, Botha CA, Hemmer W et al. (2003) Older patients fare better with the Ross operation. Ann Thorac Surg 75:796–801
Bonow RO, Carabello B, Chatterjee K et al. (2006) ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease); developed in collaboration with the Society of Cardiovascular Anesthesiologists; endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation 114:84–231
Bortolotti U, Scioti G, Milano A et al. (2000) Performance of 21-mm size perimount aortic bioprosthesis in the elderly. Ann Thorac Surg 69:47–50
Bozbuga N, Erentug V, Kirali K, Akinci E, Isik O, Yakut C (2004) Midterm results of aortic valve repair with the pericardial cusp extension technique in rheumatic valve disease. Ann Thorac Surg 77:1272–1276
Carabello BA (2004) Is it ever too late to operate on the patient with valvular heart disease? J Am Coll Cardiol 44:376–383
Carabello BA, Paulus WJ (2009) Aortic stenosis. Lancet 373:956–966
Carr JA, Savage EB (2004) Aortic valve repair for aortic insufficiency in adults: a contemporary review and comparison with replacement techniques. Eur J Cardiothorac Surg 25:6–15
Carr-White GS, Kilner PJ, Hon JK et al. (2001) Incidence, location, pathology, and significance of pulmonary homograft stenosis after the Ross operation. Circulation 104(SupplI):116–120
Charitos EI, Hanke T, Stierle U, on behalf of the German-Dutch Registry et al. (2009a) Autograft reinforcement to preserve autograft function after the Ross procedure: a report from the German-Dutch Ross registry. Circulation 120:S146–S154
Charitos EI, Stierle U, Sievers HH, Misfeld M (2009b) Valve-sparing aortic root remodeling with partial preservation of the intact native aortic sinuses. Eur J Cardiothorac Surg 36:589–591
Charlson E, Legedza AT, Hamel MB (2006) Decision-making and outcomes in severe symptomatic aortic stenosis. J Heart Valve Dis 15:312–321
Chukwuemeka A, Borger MA, Ivanov J, Armstrong S, Feindel CM, David TE (2006a) Valve surgery in octogenarians: a safe option with good medium-term results. J Heart Valve Dis 15:191–196
Chukwuemeka A, Rao V, Armstrong S, Ivanov J, David TE (2006b) Aortic valve replacement: a safe and durable option in patients with impaired left ventricular systolic function. Eur J Cardiothorac Surg 29:133–138
Cohen O, De La Zerda DJ, Fishbein MC, Calderon CA, Laks H (2007) Pathologic findings in pericardium and native valve tissue after aortic valve-sparing with autologous pericardial leaflet extension. J Heart Valve Dis 16:230–234
Cribier A, Savin T, Saoudi N, Rocha P, Berland J, Letac B (1986) Percutaneous transluminal valvuloplasty of acquired aortic stenosis in elderly patients: an alternative to valve replacement? Lancet 1:63–67
Danielson GK, Titus JL, DuShane JW (1974) Successful treatment of aortic valve endocarditis and aortic root abscesses by insertion of prosthetic valve in ascending aorta and placement of bypass grafts to coronary arteries. J Thorac Cardiovasc Surg 67:443–449
Das P, Rimington H, Chambers J (2005) Exercise testing to stratify risk in aortic stenosis. Eur Heart J 26:1309–1313
David TE (2005) Is prosthesis-patient mismatch a clinically relevant entity? Circulation 111:3186–3187
David TE, Feindel CM (1992) An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 103:617–621
David TE, Armstrong S, Ivanov J, Feindel CM, Omran A, Webb GD (2001a) Results of aortic valve-sparing operations. J Thorac Cardiovasc Surg 12:239–246
David TE, Ivanov J, Armstrong S, Feindel CM, Cohen G (2001b) Late results of heart valve replacement with the Hancock II bioprosthesis. J Thorac Cardiovasc Surg 121:268–277
David TE, Ivanov J, Armstrong S, Feindel CM, Webb GD (2002) Aortic valve-sparing operations in patients with aneurysms of the aortic root or ascending aorta. Ann Thorac Surg 74(Suppl):S1758–S1761
Davierwala PM, David TE, Armstrong S, Ivanov J (2003) Aortic valve repair versus replacement in bicuspid aortic valve disease. J Heart Valve Dis 12:679–686
Davierwala PM, Borger MA, David TE, Rao V, Maganti M, Yau TM (2006) Reoperation is not an independent predictor of mortality during aortic valve surgery. J Thorac Cardiovasc Surg 131:329–335
Dellgren G, Eriksson MJ, Brodin LA, Radegran K (2002) Eleven years’ experience with the Biocor stentless aortic bioprosthesis: clinical and hemodynamic follow-up with long-term relative survival rate. Eur J Cardiothorac Surg 22:912–921
Desai ND, Merin O, Cohen GN et al. (2004) Long-term results of aortic valve replacement with the St. Jude Toronto stentless porcine valve. Ann Thorac Surg 78:2076–2083
Deyerling W, Haverich A, Potel J, Hetzer R (1984) A suspension of fibrin glue and antibiotic for local treatment of mycotic aneurysms in endocarditis – an experimental study. Thorac Cardiovasc Surg 32:369–372
Duebener LF, Stierle U, Erasmi A, German Ross Registry et al. (2005) Ross procedure and left ventricular mass regression. Circulation 112(SuppI):1415–1422
Duran CM, Gometza B, Kumar N, Gallo R, Bjorastad K (1995) From aortic cusp extension to valve replacement with stentless pericardium. Ann Thorac Surg 60(2 Suppl):S428–S432
Elkayam U, Bitar F (2005) Valvular heart disease and pregnancy. Part I: native valves. J Am Coll Cardiol 46:223–230
ElKhoury G, Vanoverschelde JL, Glineur D et al. (2006) Repair of bicuspid aortic valves in patients with aortic regurgitation. Circulation 114(SupplI):1610–1616
Erasmi AW, Stierle U, Bechtel MJF, Schmidtke C, Sievers H-H, Kraatz E-G (2003) Up to 7 years’ experience with valve sparing aortic root remodeling/reimplantation for acute type A dissection. Ann Thorac Surg 76:99–104
Erasmi AW, Sievers H-H, Bechtel MJF, Hanke T, Stierle U, Misfeld M (2007) Remodeling or reimplantation for valve sparing aortic root surgery? Ann Thorac Surg 83(Suppl):S752–S756
Erasmia A, Sievers H-H, Scharfschwerdt M, Eckel T, Misfeld M (2005) In vitro hydrodynamics, cusp-bending deformation, and root distensibility for different types of aortic valve-sparing operations: remodeling, sinus prosthesis, and reimplantation. J Thorac Cardiovasc Surg 130:1044–1049
Fagan A, Yacoub MH, Pillai R, Radley-Smith R (1982) Dacron replacement of the ascending aorta and sinuses with resuspension of the aortic valve and re-implantation of the coronary arteries: a new method for treatment of aneurismal or acute dissection of the aortic root. Proceedings of the Joint International Cardiovascular and Thoracic Surgical Conference, Stockholm. Scand J Cardiovasc Surg 16:175
Freeman RV, Otto CM (2005) Spectrum of calcified aortic valve disease. Pathogenesis, disease progression, and treatment strategies. Circulation 111:3316–3326
Grinda JM, Latremouille C, Berrebi AJ et al. (2002) Aortic valve extension valvuloplasty for rheumatic aortic valve disease: midterm results. Ann Thorac Surg 74:438–443
Grube E, Schuler G, Bullesfeld L et al. (2007) Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome. J Am Coll Cardiol 50:69–76
Grubitzsch H, Linneweber J, Kossagk C, Sanli E, Beholz S, Konertz WF (2005) Aortic valve replacement with new-generation stentless pericardial valves: short-term clinical and hemodynamic results. J Heart Valve Dis 14:623–629
Gummert JF, Funkat AK, Beckmann A et al. (2011) Cardiac surgery in Germany during 2010: a report on behalf of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 59:259–267
Hagl C, Galla JD, Lansman SL et al. (2002) Replacing the ascending aorta and aortic valve for acute prosthetic valve endocarditis: is using prosthetic material contraindicated? Ann Thorac Surg 74(Suppl):S1781–S1785
Hagl C, Strauch JT, Spielvogel D et al. (2003) Is the Bentall procedure for ascending aorta or aortic valve replacement the best approach for long-term event-free survival? Ann Thorac Surg 76:698–703
Hameed A, Karaalp IS, Tummala PP et al. (2001) The effect of valvular disease on maternal and fetal outcome of pregnancy. J Am Coll Cardiol 37:893–899
Hanke T, Charitos EI, Stierle U et al. (2009) Factors associated with the development of aortic valve regurgitation over time after two different techniques of valve-sparing aortic root surgery. J Thorac Cardiovasc Surg 137:314–319
Herzog CA, Ma JZ, Collins AJ (2002) Long-term survival of dialysis patients in the United States with prosthetic heart valves: should ACC/AHA practice guidelines on valve selection be modified? Circulation 105:1336–1341
Houel R, Soustelle C, Kirsch M, Hillion ML, Renaut C, Loisance DY (2002) Long-term results of the Bentall operation versus separate replacement of the ascending aorta and aortic valve. J Heart Valve Dis 11:485–491
Hung L, Rahimtoola SH (2007) Prosthetic heart valves and pregnancy. Circulation 107:1240–1246
Iung B, Cachier A, Baron G et al. (2005) Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur Heart J 26:2714–2720
Karck M, Siclari F, Wahlig H et al. (1990) Pretreatment of prosthetic valve sewing-ring with the antibiotic-fibrin sealant compound as a prophylactic tool against prosthetic valve endocarditis. Eur J Cardiothorac Surg 4:142–146
Kirklin JW, Barratt-Boyes BG (1986) Cardiac surgery. Wiley, Chichester
Kolh P, Kerzmann A, Honore C, Comte L, Limet R (2007) Aortic valve surgery in octogenarians: predictive factors for operative and long-term results. Eur J Cardiothorac Surg 31:600–606
Kulik A, Burwash IG, Kapila V, Mesana TG, Ruel M (2006) Long-term outcomes after valve replacement for low-grading aortic stenosis: impact of prosthesis-patient mismatch. Circulation 114(SuppI):1553–1558
Kvidal P, Bergström R, Hörte LG, Stahle E (2000a) Observed and relative survival after aortic valve replacement. J Am Coll Cardiol 35:747–756
Kvidal P, Bergström R, Malm T, Stahle E (2000b) Long-term follow-up of morbidity and mortality after aortic valve replacement with mechanical valve prosthesis. Eur Heart J 21:1099–1111
Langanay T, Verhove JP, Ocampo G et al. (2006) Current hospital mortality of aortic valve replacement in octogenarians. J Heart Valve Dis 15:630–637
Langer F, Aicher D, Kissinger A et al. (2004) Aortic valve repair using a differentiated surgical strategy. Circulation 110:II67–II73
Leyh RG, Knobloch K, Hagl C et al. (2004) Replacement of the aortic root for acute prosthetic valve endocarditis: prosthetic composite versus aortic allograft root replacement. J Thorac Cardiovasc Surg 127:1416–1420
Luciani GB, Casali G, Auriemma S, Santini F, Mazzucco A (2002) Survival after stentless and stented xenograft aortic valve replacement: a concurrent, controlled trial. Ann Thorac Surg 74:1443–1449
Lund O, Nielsen SL, Arildsen H, Ilkjaer LB, Pilegaard HK (2000) Standard aortic St. Jude valve at 18 years: performance profile and determinants of outcome. Ann Thorac Surg 69:1459–1465
Lytle BW, Sabik JF, Blackstone EH, Svensson LG, Pettersson GB, Cosgrove DM 3rd (2002) Reoperative cryopreserved root and ascending aorta replacement for acute aortic prosthetic valve endocarditis. Ann Thorac Surg 74(Suppl):S1754–S1757
Magovern GJ, Cromie HW (1963) Sutureless prosthetic heart valves. J Thorac Cardiovasc Surg 46(46):726–736
Manouguian S, Seybold-Epting W (1979) Patch enlargement of the aortic valve ring by extending the aortic incision to the anterior mitral leaflet. J Thorac Cardiovasc Surg 78:402–412
Manouguian S, Abu-Aishah N, Neuzel J (1979) Patch enlargement of the aortic and mitral valve rings with aortic and mitral double valve replacement. J Thorac Cardiovasc Surg 78:394–401
Martens S, Neumann K, Sodemann C, Deschka H, Wimmer-Greinecker G, Moritz A (2008) Carbon dioxide field flooding reduces neurologic impairment after open heart surgery. Ann Thorac Surg 85:543–547
McElhinney DB, Petrossian E, Tworetzky W, Silverman NH, Hanley FL (2000) Issues and outcomes in the management of supravalvular aortic stenosis. Ann Thorac Surg 69:562–567
Minakata K, Schaff HV, Zehr KJ et al. (2004) Is repair of aortic valve regurgitation a safe alternative to valve replacement? J Thorac Cardiovasc Surg 127:645–653
Mistiaen W, Van Cauwelaert P, Muylaert P, Wuyts F, Harrisson F, Bortier H (2004) Risk factors and survival after aortic valve replacement in octogenarians. J Heart Valve Dis 13:538–544
Moon MR, Miller DC, Moore KA et al. (2001) Treatment of endocarditis with valve replacement: the question of tissue versus mechanical prosthesis. Ann Thorac Surg 71:1164–1171
Morrow AG (1978) Hypertrophic subaortic stenosis: operative methods utilized to relieve left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg 76:423–430
Murday AJ, Hoschtitzky A, Mansfield J et al. (2003) A prospective controlled trial of St. Jude versus Starr Edwards aortic and mitral valve prostheses. Ann Thorac Surg 76:66–73
NHLBI Balloon Valvuloplasty Registry Participants (1991) Percutaneous balloon aortic valvuloplasty. Acute and 30-day follow-up results in 674 patients from the NHLBI Balloon Valvuloplasty Registry. Circulation 84:2383–2397
Pai RG, Varadarajan P, Kapoor N, Bansal RC (2007) Aortic valve replacement improves survival in severe aortic stenosis associated with severe pulmonary hypertension. Ann Thorac Surg 84:80–85
Pasquali SK, Shera D, Wernovsky G et al. (2007) Midterm outcomes and predictors of reintervention after the Ross procedure in infants, children, and young adults. J Thorac Cardiovasc Surg 133:893–899
Pate GE, Chandavimal M, Naiman SC, Webb JG (2004) Heyde’s syndrome: a review. J Heart Valve Dis 13:701–712
Pellikka PA, Sarano ME, Nishimura RA et al. (2005) Outcome of 622 adults with asymptomatic, hemodynamically significant aortic stenosis during prolonged follow-up. Circulation 111:3290–3295
Peterson MD, Borger MA, Feindel CM, David TE (2007) Aortic anular enlargement during aortic valve replacement: improving results with time. Ann Thorac Surg 83:2044–2049
Pibarot P, Honos GN, Durand LG, Dumesnil JG (1996) The effect of prosthesis-patient mismatch on aortic bioprosthetic valve hemodynamic performance and patients clinical status. Can J Cardiol 12:379–387
Potter DD, Sundt TM, Zehr KJ et al. (2005) Operative risk of reoperative aortic valve replacement. J Thorac Cardiovasc Surg 129:94–103
Probst V, Le Scouamec S, Legendre A et al. (2006) Familial aggregation of calcific aortic valve stenosis in the western part of France. Circulation 113:856–860
Quere JP, Monin JL, Levy F et al. (2006) Influence of preoperative left ventricular contractile reserve on postoperative ejection fraction in low-gradient aortic stenosis. Circulation 113:1738–1744
Rahimtoola S (1978) The problem of valve prosthesis-patient mismatch. Circulation 58:20–24
Rahimtoola SH (1998) Indications for surgery in aortic valve disease. In: Yusuf S, Cairns JA, Camm AJ, Fallen EL, Gersh BJ (eds) Evidence based cardiology. BMJ Publishing, London, pp 811–832
Rahimtoola SH, Frye RL (2000) Valvular heart disease. Circulation 102:IV-24–IV-33
Rankin JS, Hammill BG, Ferguson TB et al. (2006) Determinants of operative mortality in valvular heart surgery. J Thorac Cardiovasc Surg 131:547–557
Reader GG, Romeo BJ, Webster B et al. (1947) The prognosis of syphilitic aortic insufficiency. Ann Intern Med 27:584–595
Reimold SC, Rutherford JD (2003) Valvular heart disease in pregnancy. N Engl J Med 349:52–59
Reitz BA, Stinson EB, Watson DC et al. (1981) Translocation of the aortic valve for prosthetic valve endocarditis. J Thorac Cardiovasc Surg 81:212–218
Roberts WC, Ko JM (2005) Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation 111:920–925
Robicsek F, Cook JW, Reames MK, Skipper ER (2004) Size reduction ascending aortoplasty: is it dead or alive? J Thorac Cardiovasc Surg 128:562–570
Rosenhek R, Klaar U, Schemper M et al. (2004) Mild and moderate aortic stenosis. Natural history and risk stratification by echocardiography. Eur Heart J 25:199–205
Ross DN (1962) Homograft replacement of the aortic valve. Lancet 2:487
Ross DN (1967) Replacement of the aortic and mitral valves with a pulmonary autograft. Lancet 2:956–958
Sabik JF, Lytle BW, Blackstone EH, Marullo AG, Pettersson GB, Cosgrove DM (2002) Aortic root replacement with cryopreserved allograft for prosthetic valve endocarditis. Ann Thorac Surg 74:650–659
Santini F, Casali G, Viscardi F et al. (2002) The CarboMedics prosthetic heart valve: experience with 1,084 implants. J Heart Valve Dis 11:121–126
Schmidtke C, Bechtel M, Hueppe M, Sievers HH (2001) Time course of aortic valve function and root dimensions after subcoronary Ross procedure for bicuspid versus tricuspid aortic valve disease. Circulation 104(Suppl):I21–I24
Scognamiglio R, Negut C, Palisi M, Fasoli G, Dalla-Volta S (2005) Long-term survival and functional results after aortic valve replacement in asymptomatic patients with chronic severe aortic regurgitation and left ventricular dysfunction. J Am Coll Cardiol 45:1025–1030
Sievers HH (2002) Status of aortic valve reconstruction and Ross operation in aortic valve disease. Herz 27:435–444
Sievers HH, Schmidtke C (2007) A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg 133:1226–1233
Sievers HH, Hanke T, Stierle U et al. (2006) A critical reappraisal of the Ross operation: renaissance of the subcoronary implantation technique? Circulation 114(SuppI):1504–1511
Sievers HH, Stierle U, Charitos EI et al. (2010a) Fourteen years’ experience with 501 subcoronary Ross procedures: surgical details and results. J Thorac Cardiovasc Surg 140:816–822, 822.e1-5
Sievers HH, Stierle U, Charitos EI, German-Dutch Ross Registry et al. (2010b) Major adverse cardiac and cerebrovascular events after the Ross procedure: a report from the German-Dutch Ross Registry. Circulation 122(11 Suppl):S216–S223
Sievers HH, Hemmer W, Beyersdorf F, Working Group for Aortic Valve Surgery of German Society of Thoracic and Cardiovascular Surgery et al. (2012) The everyday used nomenclature of the aortic root components: the tower of Babel? Eur J Cardiothorac Surg 41:478–482
Silversides CK, Coleman JM, Sermaer M, Farine D, Siu S (2003) Early and intermediate-term outcomes of pregnancy with congenital aortic stenosis. Am J Cardiol 91:1386–1389
Sioris T, David TE, Ivanov J, Armstrong S, Feindel CM (2004) Clinical outcomes after separate and composite replacement of the aortic valve and ascending aorta. J Thorac Cardiovasc Surg 128:260–265
Smith WT, Ferguson TB, Ryan T, Landolfo CK, Peterson ED (2004) Should coronary artery bypass graft surgery patients with mild or moderate aortic stenosis undergo concomitant aortic valve replacement? A decision analysis approach to the surgical dilemma. J Am Coll Cardiol 44:1241–1247
Stamm C, Friehs I, Ho SY, Moran AM, Jonas RA, del Nido PJ (2001) Congenital supravalvar aortic stenosis: a simple lesion? Eur J Cardiothorac Surg 19:195–202
Sundt TM, Bailey MS, Moon MR et al. (2000) Quality of life after aortic valve replacement at the age of >80 years. Circulation 102(Suppl III):III70–III74
Takkenberg JJ, Eijkemans MJ, van Herwerden LA et al. (2003) Prognosis after aortic root replacement with cryopreserved allografts in adults. Ann Thorac Surg 75:1482–1489
Talwar S, Mohapatra R, Saxena A, Singh R, Kumar AS (2005) Aortic homograft: a suitable substitute for aortic valve replacement. Ann Thorac Surg 80:832–838
Tarantini G, Buja P, Scognamiglio R et al. (2003) Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular function recovery. Eur J Cardiothorac Surg 24:879–885
Tasca G, Mhagna Z, Perotti S et al. (2006) Impact of prosthesis-patient mismatch on cardiac events and midterm mortality after aortic valve replacement in patients with pure aortic stenosis. Circulation 113:570–576
Taylor WJ, Thrower WB, Black H, Harken DE (1958) The surgical correction of aortic insufficiency by circumclusion. J Thoracic Surg 35:192–205
Tleyjeh IM, Abdel-Latif A, Rahbi H et al. (2007) A systematic review of population-based studies of infective endocarditis. Chest 132:1025–1035
Tornos P, Sambola A, Permenyer-Miralda G, Evangelista A, Gomez Z, Soler-Soler J (2006) Long-term outcome of surgically treated aortic regurgitation: influence of guideline adherence towards early surgery. J Am Coll Cardiol 47:1012–1017
Urbanski PP, Diegeler A, Siebel A, Zacher M, Hacker RW (2003) Valve stentless composite graft: clinical outcomes and hemodynamic characteristics. Ann Thorac Surg 75:467–471
Varadarajan P, Kapoor N, Bansal RC, Pai RG (2006b) Survival in elderly patients with severe aortic stenosis is dramatically improved by aortic valve replacement: results from a cohort of 27 patients aged > or = 80 years. Eur J Cardiothorac Surg 30:722–727
Vogt PJ, Brunner-LaRocca H, Sidler P et al. (2000) Reoperative surgery for degenerated aortic bioprostheses: predictors for emergency surgery and reoperative mortality. Eur J Cardiothorac Surg 17:134–139
Vrandecic M, Fantini FA, Filho BG, de Oliveira OC, da Costa Junior IM, Vrandecic E (2000) Retrospective clinical analysis of stented vs. stentless porcine aortic bioprosthesis. Eur J Cardiothorac Surg 18:46–53
Vrandecic M, Fantini FA, Filho BG, de Oliveira OC, da Costa Junior IM, Vrandecic E (2002) Long-term results with the Biocor-SJM stentless porcine aortic bioprosthesis. J Heart Valve Dis 11:47–53
Walker T, Bail DH, Gruler M, Vonthein R, Steger V, Ziemer G (2007) Unsupported reduction ascending aortoplasty: fate of diameter and of Windkessel function. Ann Thorac Surg 83:1047–1053
Wilson W, Taubert KA, Gewitz M et al. (2007) Prevention of infective endocarditis. Guidelines from the American Heart Association. A Guideline from the American heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcome Research Interdisciplinary Working Group. Circulation 115:1–19
Yacoub MH, Gehle P, Chandrasekaran V, Birks EJ, Child A, Radley-Smith R (1998) Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg 115:1080–1090
Zlotnick AY, Shiran A, Lewis BS, Aravot D (2008) Images in cardiovascular medicine. A perfectly functioning Magovern-Cromie sutureless prosthetic aortic valve 42 years after implantation. Circulation 117:e1–e2
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Misfeld, M., Charitos, E.I., Sievers, HH. (2017). Acquired Lesions of the Aortic Valve. In: Ziemer, G., Haverich, A. (eds) Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52672-9_24
Download citation
DOI: https://doi.org/10.1007/978-3-662-52672-9_24
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-52670-5
Online ISBN: 978-3-662-52672-9
eBook Packages: MedicineMedicine (R0)