Skip to main content

Aortic annuloplasty

  • Chapter
Aortic Root Surgery

Abstract

The word “annuloplasty” derives from the Latin word anus or anulus meaning “ring” [1, 2] and the Greek word plastia from plastos meaning “molded” [3]. The official definition of “annuloplasty” is “surgical reconstruction of an incompetent cardiac valve” [1]. More generally, it means “plastic repair of a cardiac valve by shortening the circumference of its annulus” [2]. However, in practical surgical situations, a valve annulus can either be enlarged or reduced. Accordingly, we will discuss reduction and augmentation aortic annuloplasty in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 149.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. The American heritage Stedman’s medical dictionary (2002) Houghton Mifflin Co, Boston

    Google Scholar 

  2. Dorland’s Illustrated Medical Dictionary (2007) Saunders Elesvier, Philadelphia

    Google Scholar 

  3. The American heritage dictionary of the English language (2003) Fourth edition, Houghton Mifflin Company, Boston

    Google Scholar 

  4. Anderson RH, Wilcox BR (1995) Understanding cardiac anatomy: The prerequisite for optimal cardiac surgery. Ann Thorac Surg 59:1366–1375

    CAS  PubMed  Google Scholar 

  5. Robicsek F (1991) Leonardo da Vinci and the Sinuses of Valsava. Ann Thorac Surg 52:328–335

    CAS  PubMed  Google Scholar 

  6. Wells FC, Crowe T (2004) Leonardo da Vinci as a paradigm for modern clinical research. J Thorac Cardiovasc Surg 127:929–944

    CAS  PubMed  Google Scholar 

  7. Anderson, RH (2000) Clinical anatomy of the aortic root. Heart 84:670–673

    CAS  PubMed  Google Scholar 

  8. Yacoub MH, Kilner PJ, Birks EJ et al (1999) The aortic outflow tract and root: a tale of dynamism and crosstalk. Ann Thorac Surg 68(Suppl):S37–S43

    CAS  PubMed  Google Scholar 

  9. Sutton, JP, Siew YH, Anderson RH (1995) The forgotten interleaflet triangles: A review of the surgical anatomy of the aortic valve. Ann Thorac Surg 59:419–427

    PubMed  Google Scholar 

  10. Hokken RB, Bartelings MM, Bogers AJJC et al (1997) Morphology of the pulmonary and aortic roots with regard to the pulmonary autograft procedure. J Thorac Cardiovasc Surg 113:453–461

    CAS  PubMed  Google Scholar 

  11. Greenwald SE (2007) Ageing of the conduit arteries. J Pathol 211:157–172

    CAS  PubMed  Google Scholar 

  12. Pezet M, Jacob MP, Escoubet B et al (2008) Elastin haploinsufficiencey induces alternative aging processes in the aorta. Rejuvenation Res 11:97–112

    CAS  PubMed  Google Scholar 

  13. Capps SB, Elkins RC, Fronk DM (2000) Body surface area as a predictor of aortic and pulmonary valve diameter. J Thorac Cardiovasc Surg 119:975–982

    CAS  PubMed  Google Scholar 

  14. Burman ED, Keegan J, Kilner PJ (2008) Aortic root measurement by cardiovascular magnetic resonance. Specification of planes and line of measurement and corresponding normal values. Circ Cardiovasc Imaging 1:104–113

    PubMed  Google Scholar 

  15. Bonow RO, Carabello BA, Chatterjee K et al (2006) ACC/AHA 2006 practice guideline for the management of patients with valvular heart disease: Executive summary. J Am Coll Cardiol 48:598–675

    Google Scholar 

  16. Pibarot P and Dumesnil JG (2000) Hemodynamic and clinical impact of prosthesis-patient mismatch in the aortic valve position and its prevention. J Am coll Cardiol 36:1131–1141

    CAS  PubMed  Google Scholar 

  17. Gerosa G, Tarzia V, Rizzoli G et al (2006) Small aortic annulus: The hydrodynamic performances of 5 commercially available tissue valves. J Thorac Cardiovasc Surg 131:1058–1064

    PubMed  Google Scholar 

  18. Akins CW, Travis B, Yoganathan AP (2007) Energy loss for evaluating heart valve performance. J Thorac Cardiovasc Surg 136:820–833

    Google Scholar 

  19. Choo SJ, McRae G, Olomon JP et al (1999) Aortic Root Geometry: Pattern of differences between leaflets and sinuses of Valsalva. J Heart Valve Dis 8:407–415

    CAS  PubMed  Google Scholar 

  20. Reid K (1970) The anatomy of the sinus of Valsalva. Thorax 25:79–85

    CAS  PubMed  Google Scholar 

  21. Kunzelman KS, Grande KJ, David TE et al (1994) Aortic root and valve relationships. Impact on surgical repair. J Thorac Cardiovasc Surg 107:162–170

    CAS  PubMed  Google Scholar 

  22. Dagum P, Green GR, Nistal FJ et al (1999) Deformational dynamics of the aortic root. Modes and physiologic determinants. Circulation 100(Suppl II):II-54–II-62

    CAS  Google Scholar 

  23. Lansac E, Lim HS, Shomura Y et al (2002) A four-dimensional study of the aortic root dynamics. Eur J Cardio-thorac Surg 22:497–503

    CAS  Google Scholar 

  24. Kazui T, Izumoto H, Yoshioka K et al (2006) Dynamic morphologic changes in the normal aortic annulus during systole and diastole. J Heart Valve Dis 15:617–621

    PubMed  Google Scholar 

  25. Kaldararova M, Balazova E, Tittel P et al (2007) Echocardiographic measurements of the aorta in normal children and young adults. Bratial Lek Listy 108:437–442

    CAS  Google Scholar 

  26. Zhu D and Zhao Q (2008) Aortic valve annulus and sinus-tube joint diameters in normal adults of Chinese Han ethinic group. Chin Med J 121:1093–1095

    PubMed  Google Scholar 

  27. van Rijk-Zwikker GL, Delemarre BJ, Juysmans HA (1994) Mitral valve anatomy and morphology: relevance to mitral valve replacement and valve reconstruction. J Card Surg 9 (Suppl):255–261

    PubMed  Google Scholar 

  28. Lansac E, Lim KH, Shomura Y et al (2002) Dynamic balance of the aortomitral junction. J Thorac Cardiovasc Surg 123:911–918

    PubMed  Google Scholar 

  29. Glasson JR, Komeda MK, Daughters GY, Bolger AF, Tomizawa Y, Daughters GT II, Tye TL, Ingels NB Jr, Miller DC (1996) Three-dimensional regional dynamics of the normal mitral annulus during left ventricular ejection. J Thorac Cardiovasc Surg 111:574–585

    CAS  PubMed  Google Scholar 

  30. Parish LM, Jackson BM, Enomoto Y, Gorman RC, Gorman JH III (2004) The dynamic anterior mitral annulus. Ann Thorac Surg 78:1248–1255

    PubMed  Google Scholar 

  31. Schoen FJ (1997) Editorial: Aortic valve structure-function correlations: Role of elastic fibers no longer a stretch of the imagination. J Heart Valve Dis 6:1–6

    CAS  PubMed  Google Scholar 

  32. Angele P, Abke J, Kujat R et al (2004) Influence of different collagen species on physico-chemical properties of crosslinked collagen matrices. Biomaterials 25: 2831–2841

    CAS  PubMed  Google Scholar 

  33. Joyce EM, Liao J, Schoen FJ, Mayer JE, Sacks MS (2009) Funtional collage fiber architecture of the pulmonary heart valve cusp. Ann Thorac Surg 87:1240–1249

    PubMed  Google Scholar 

  34. Christie GW, Barratt-Boyes BG (1995) Age-dependent changes in the radial stretch of human aortic valve leaflets determined by biaxial testing. Ann thorac Surg 60: S156–S159

    CAS  PubMed  Google Scholar 

  35. Stradins P, Lais R, Ozolanta I, Purina B, Ose V, Feldmane L, Kasyanov V (2004) Comparison of biomechanical and structural properties between human aortic and pulmonary valve. Eur J Cardiothorac Surg 26:634–639

    PubMed  Google Scholar 

  36. Yankah AC, Klose H, Musci M et al (2001) Geometric mismatch between homograft (allograft) and native aortic root: a 14-year clinical experience. Eur J Cardiothorac Surg 20:835–841

    CAS  PubMed  Google Scholar 

  37. Vasan RS, Larson, Levy D (1995) Determinants of echocardiographic aortic root size. Circulation 91:734–740

    CAS  PubMed  Google Scholar 

  38. Grande KJ, Cochran RP, Reinhall PG et al (1999) Mechanisms of aortic valve incompetence in aging: A finite element model. J Heart Valve Dis 8:149–156

    CAS  PubMed  Google Scholar 

  39. Singh R, Strom JA, Ondrovic L, Joseph B, VanAuker MD (2008) Age-related changes in the aortic valve affect leaflet stress distributions: Implications for aortic valve degeneration. J Heart Valve Dis 17:290–299

    PubMed  Google Scholar 

  40. Dare AJ, Veinot JP, Edwards WD et al (1993) New observations on the etiology of aortic valve disease: A surgical pathologic study of 236 cases from 1990. Hum Pathol 24:1330–1338

    CAS  PubMed  Google Scholar 

  41. Fleg JL (1986) Alterations in cardiovascular structure and function with advancing age. Am J Cardiol 57:33C–44C

    CAS  PubMed  Google Scholar 

  42. Schlatmann TJ, Becker AE (1977) Histologic changes in the normal aging aorta: Implications for dissecting aortic aneurysm. Am J Cardiol 39:13–20

    CAS  PubMed  Google Scholar 

  43. Kazui T, Kin H, Tsuboi J, Yoshioka K, Okabayashi H, Kawazoe K (2008) Perioperative dynamic morphological changes of the aortic annulus during aortic root remodeling with aortic annuloplasty at systolic and diastolic phases. J Heart Valve Dis 17:366–370

    PubMed  Google Scholar 

  44. David TE (1996) Remodeling the aortic root and preservation of the native aortic valve. Op Tech Cardiac Thorac Surg 1:44–56

    Google Scholar 

  45. Keane MG, Pyeritz RE (2008) Medical management of Marfan Syndrome. Circulation 117:2802–2813

    PubMed  Google Scholar 

  46. Yetman AT, Graham T (2009) The dilate aorta in patients with congenital cardiac defects. J Am Coll Cardiol 53:461–467

    PubMed  Google Scholar 

  47. Pearson GD, Devereux R, Loeys B et al (2008) Report of the National Heart, Lung, and Blood Institute and National Marfan Foundation Working Group on research in Marfan Syndrome and related disorders. Circulation 118:785–791

    PubMed  Google Scholar 

  48. Sarsam LAJ, Yacoub M (1993) Remodeling of the aortic valve annulus. J Thorac Cardiovasc Surg 105:435–438

    CAS  PubMed  Google Scholar 

  49. David TE, Feindel CM (1992) An aortic valve-sparing operation for patients with aortic incompetence and aneurym of the ascending aorta. J Thorac Cardiovasc Surg 103:617–622

    CAS  PubMed  Google Scholar 

  50. de Oliveira NC, David TE, Ivanov J, Armstrong S, Eriksson MJ, Rakowski H, Webb G (2003) Results of surgery for aortic root aneurysm in patients with Marfan syndrome. J Thorac Cardiovasc Surg 125:789–786

    PubMed  Google Scholar 

  51. Miller DC (2003) Editorial. Valve-sparing aortic root replacement in patients with the Marfan syndrome. J Thorac Cardiovasc Surg 125:773–778

    PubMed  Google Scholar 

  52. Holman E (1954) The obscure physiology of poststenotic dilatation; its relation to the development of aneurysms. J Thorac Surg 28:109–133

    CAS  PubMed  Google Scholar 

  53. Fedak PW, Verma S, David TE, Leask RS, Weisel RD, Butany J (2002) Clinical and pathophysiological implications of a bicuspid aortic valve. Circulation 106:900–904

    PubMed  Google Scholar 

  54. Tadros TM, Klein MD, Shapira OM (2009) Ascending aortic dilatation associated with bicuspid aortic valve. Pathophysiology, molecular biology, and clinical implications. Circulation 119:880–890

    PubMed  Google Scholar 

  55. Beroukhim RS, Kruzick TL, Taylor AL, Gao D, Yetman AT (2006) Progression of aortic dilation in children with a functionally normal bicuspid aortic valve. Am J Cardiol 98:828–830

    PubMed  Google Scholar 

  56. Nistri S, Sorbo MK, Basso C, Thiene G (2002) Bicuspid aortic valve: Abnormal aortic elastic properties. J Heart Valve Dis 11:369–373

    PubMed  Google Scholar 

  57. Fazel SS, Mallidi HR, Lee RS, Sheehan MP, Liang D, Fleischman D, Herfkens R, Mitchell RS, Miller DC (2008) The aortopathy of bicuspid aortic valve disease has distinctive patterns and usually involves the transverse aortic arch. J Thorac Cardiovasc Surg 135:901–907

    PubMed  Google Scholar 

  58. Bauer M, Gliech V, Siniawski H, Hetzer R (2006) configuration of the ascending aorta in patients with bicuspid and tricuspid aortic valve disease undergoing aortic valve replacement with or without reduction aortaoplasty. J Heart Valve Dis 15:594–600

    PubMed  Google Scholar 

  59. Sabet HY, Edwards WD, Tazelaar HD, Daly RC (1996) Congenitally bicuspid aortic valves: A surgical pathology study of 542 cases (1991 through 1996) and a literature review of 2,715 additional cases. Mayo Clin Proc 74:14–26

    Google Scholar 

  60. da Sa M, Moshkovitz Y, Butany J, David TE (1999) Histologic abnormalities of the ascending aorta and pulmonary trunk in patients with bicuspid aortic valve disease: clinical relevance to the Ross procedure. J Thorac Cardiovasc Surg 118:588–596

    PubMed  Google Scholar 

  61. Niwa K, Perloff JK, Bhuta SM, Laks M, Drinkwater DC, Child JS, Miner PD (2001) Structural abnormalities of great arterial walls in congenital heart disease: light and electron microscopic analyses. Circulation 103:393–400

    CAS  PubMed  Google Scholar 

  62. Takkenberg JJM, Klieverik LMA, Schoof PH, van Suylen RJ, van Herwerden LA, Zondervan PE, Roos-Hesselink JW, Eijkemans MJC, Yacoub JD, Bogers AJJC (2009) The Ross Procedure. A systematic review and meta-analysis. Circulation 119:222–228

    PubMed  Google Scholar 

  63. Elkins RC, Thompson DM, Lane MM, Elkins CC, Peyton MD (2008) Ross operation: 16-year experience. J Thorac Cardiovasc Surg 136:623–630

    PubMed  Google Scholar 

  64. da Costa FDA, Santos LR, Collatusso C, Matsuda CN, Lopes SAV, Cauduro S, Roderjan JG, Ingham E (2009) Thirteen years’ experience with the Ross Operation. J Heart Valve Dis 18:84–94

    PubMed  Google Scholar 

  65. David TE (2009) Editorial: Ross Procedure at the crossroads. Circulation 119:207–209

    PubMed  Google Scholar 

  66. Yacoub MD, Klieverik LMA, Melina G, Edward SER, Sarathchandra P, Bogers AJJC, Squarcia U, Sani G, van Herwerden LA, Takkenberg JJM (2006) An evaluation of the Ross Operation in adults. J Heart Valve Dis 15:531–539

    PubMed  Google Scholar 

  67. anke T, Stierle U, Boehm JO, Botha CA, Bechtel JFM, Erasmi A, Misfeld M, Hemmer W, Rein JG, Robinson DR, Lange R, Horer J, Moritz A, Ozaslan F, Wahlers T, Franke UFW, Hetzer R, Hubler M, Aiemer G, Graf B, Ross DN, Sievers HH (2007) Autograft regurgitation and aortic root dimensions after the Ross Procedure. The German Ross Registry experience. Circulation 116(Suppl I):I–251–I–258

    Google Scholar 

  68. Favaloro RR, Roura P, Gomez C, Salvatori C (2008) Aortic valve replacement: Ten-year follow up of the Ross Procedure. J Heart Valve Dis 17:501–507

    PubMed  Google Scholar 

  69. Elkins RC, Knott-Craig CJ, Howell CE (1996) Pulmonary autografts in patients with aortic annulus dysplasia. Ann Thorac Surg 1:1141–1145

    Google Scholar 

  70. El-Hamamsy I, Northrup WF III, Yacoub MH (2009) Anatomy-based surgical technique of the Ross procedure. In preparation

    Google Scholar 

  71. Ross DN (1962) Homograft replacement of the aortic valve. Lancet 2:487

    CAS  PubMed  Google Scholar 

  72. Barratt-Boyes BG (1964) Homograft aortic valve replacement in aortic incompetence and stenosis. Thorax 19:131–150

    CAS  PubMed  Google Scholar 

  73. Reddy VM, McElhinney DB, Phoon C, Brook MM, Hanley FL (1998) Geometric mismatch of pulmonary and aortic annuli in children undergoing the Ross procedure: Implications for surgical management and autograft funcition. J Thorac Cardiovasc Surg 115:1255–1263

    CAS  PubMed  Google Scholar 

  74. Laudito A, Brook MM, Suleman S, Bleiweis MS, Thompson LD, Hanley FL, Reddy VM (2001) The Ross procedure in children and adults: A word of caution. J Thorac Cardiovasc Surg 122:147–153

    CAS  PubMed  Google Scholar 

  75. Black MD, van Son JAM, Hanley FL (1995) Modified pulmonary autograft aortic root replacement: The sinus obliteration technique. Ann Thorac Surg 60:1434–1436

    CAS  PubMed  Google Scholar 

  76. Carr-White GS, Afoke A, Birks EJ, Hughes S, O’Halloran A, Glennen S, Edwards S, Eastwood M, Yacoub MH (2000) Aortic root characteristics of human pulmonary autografts. Circulation 102(Suppl III):III-15–III-21

    CAS  Google Scholar 

  77. Carpentier A (1969) La valvuloplastie reconstitutive. Une nouvelle technique de valvuloplastie mitrale. Presse Med 77:251–253

    CAS  PubMed  Google Scholar 

  78. Carpentier A, Deloche A, Dauptain J, et al (1971) A new reconstructive operation for correction of mitral and tricuspid insufficiency. J Thorac Cardiovasc Surg 61: 1–13

    CAS  PubMed  Google Scholar 

  79. da Vinci, Leonardo, Codex Atlanticus, 387r

    Google Scholar 

  80. da Vinci, Leonardo, Windsor, 19115r

    Google Scholar 

  81. Carpentier A (1983) Cardiac valve surgery — the “French correction.” J Thorac Cardiovasc Surg 86:323–337

    CAS  PubMed  Google Scholar 

  82. Northrup WF III, Kshettry VR (1998) Implantation technique of aortic homograft root: Emphasis on matching the host root to the graft. Ann Thorac Surg 66:280–284

    PubMed  Google Scholar 

  83. Duran CMG (1993) Present status of reconstructive surgery for aortic valve disease. J Card Surg 8:443–452

    CAS  PubMed  Google Scholar 

  84. Cosgrove DM, Rosenkranz ER, Hendren WG, Bartlett JC, Stewart WJ (1991) Valuloplasty for aortic insufficiency. J Thorac Cardiovasc Surg 102:571–577

    CAS  PubMed  Google Scholar 

  85. Stewart RD, Backer CL, Hillman ND, Lundt C, Mavroudis C (2007) The Ross operation in children: Effects of aortic annuloplasty. Ann Thorac Surg 84:1326–1330

    PubMed  Google Scholar 

  86. Durham LA III, desJardins SE, Mosca RS, Bove EL (1997) Ross procedure with aortic root tailoring for aortic valve replacement in the pediatric population. Ann Thorac Surg 64:482–486

    PubMed  Google Scholar 

  87. Eishi K, Nakajima S, Nakano K, Kosakai Y, Nakanishi N, Yagihara T, Takamoto S (1997) Pulmonary autograft implantation in the dilated aortic annulus. Ann Thorac Surg 63:1155–1158

    CAS  PubMed  Google Scholar 

  88. Duran CMG, Alonso J, Gaite L, Alonso C, Cagigas JC, Marce L, Fleitas MG, Revuelta JM (1988) Long-term results of conservative repair of rheumatic aortic valve insufficiency. Eur J Cardio-thorac Surg 2:217–223

    CAS  Google Scholar 

  89. David TE, Omran A, Webb G, Rakowski H, Armstrong S, Sun A (1996) Geometric mismatch of the aortic and pulmonary roots causes aortic insufficiency after the Ross Procedure. J Thorac Cardiovasc Surg 112:1231–1239

    CAS  PubMed  Google Scholar 

  90. Kollar A (2007) Valve-sparing reconstruction within the native aortic root: Integrating the Yacoub and David methods. Ann Thorac Surg 83:2241–2243

    PubMed  Google Scholar 

  91. Sievers HH, Hanke t, Stierle U, Bechtel MF, Graf B, Robinson DR, Ross DN (2006) A critical reappraisal of the Ross operation. Renaissance of the subcoronary implantation technique? Circulation 114(Suppl I):I–504–I–511

    Google Scholar 

  92. Izumoto H, Kawazoe K, Kawase T, Kim H (2002) Subvalvular circular annuloplasty as a component of aortic valve repair. J Heart Valve Dis 11:383–385

    PubMed  Google Scholar 

  93. Kazui T, Izumoto H, Nasu M, Kawazoe K (2004) Perioperative changes in dynamic aortic root morphology after yacoub’s root remodeling and concomitant aortic annuloplasty. Interactive Cardiovasc Thorac Surg 3:465–469

    Google Scholar 

  94. Ruvolo G, Fattouch K (2009) Aortic valve-sparing root replacement from inside the aorta using three Dacron skirts preserving the native Valvsalva sinuses geometry and stabilizing the annulus. Interactive Cardiovasc Thorac Surg 8:179–181

    Google Scholar 

  95. Gleason TG (2005) New graft formulation and modification of the David reimplantation technique. J Thorac Cardiovasc Surg 130:601–603

    PubMed  Google Scholar 

  96. Kasegawa H, Takahashi Y, Kawase M et al (1996) Reconstruction of dilated aortic annulus using short tubular Dacron graft for aortic root replacement by aortic homograft — A solution for size mismatch. J Heart Valve Disease 5:178–180

    CAS  Google Scholar 

  97. Lansac E, Di Centa I, Varnous S et al (2005) External aortic annuloplasty ring for valve-sparing procedures. Ann Thorac Surg 79:356–358

    PubMed  Google Scholar 

  98. Lansac E, Di Centa ID, Bonnet N et al (2006) Aortic prosthetic ring annuloplasty: a susefula djucnt to a standardized aortic valve-sparing procedure? Eur J Cardio-thorac Surg 29:537–544

    Google Scholar 

  99. Lansac E, Di Centa ID, Raoux F et al (2008) An expansible aortic ring for a physiological approach of aortic valve repair. Circulation 118(Suppl 2):S858

    Google Scholar 

  100. Barrett-Boyes BG (1965) A method for preparing and inserting a homograft aortic valve. Brit J Surg 52:847–856

    Google Scholar 

  101. Pigula FA, Paolillo J, McGrath M, Gandhi SK, Myers JL, Rebovich B, Siewers RD (2001) Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation. Ann Thorac Surg 72:1610–1614

    CAS  PubMed  Google Scholar 

  102. Luciani GB, Casali G, Favaro A, Prioli MA, Barozzi L, Santini F, Mazzucco A (2003) Fate of the aortic root late after ross operation. Circulation 108(Suppl II): II–61–II–67

    Google Scholar 

  103. Rahimtoola SH (1978) The problem of valve prosthesis-patient mismatch. Circulation 58:20–24

    CAS  PubMed  Google Scholar 

  104. Pibarot P, Dumesnil JG (2009) Prosthetic heart valves. Selection of the optimal prosthesis and long-term management. Circulation 119:1034–1048

    PubMed  Google Scholar 

  105. Kvidal P, Bergstrom R, Horte LG, Stahle E (2000) Observed and relative survival after aortic valve replacement. J Am Coll Cardiol 35:747–756

    CAS  PubMed  Google Scholar 

  106. Puvimanasinghe JPA, Takkenberg JJM, Eijkemans MJC, Steyerberg EW, van Herwerden LA, Grunkemeier GL, Habbema JDF, Bogers AJJC (2005) Prognosis after aortic valve replacement with the carpentier-Edwards pericardial valve: Use of microsimulation. Ann Thorac Surg 80:825–831

    PubMed  Google Scholar 

  107. Mihaljevic T, Nowicki ER, Rjeswaran J, Blackstone EH, Lagazzi L, Thomas J, Lytle BW, Cosgrove DM (2008) Survival after valve replacement for aortic stenosis: Implications for decision making. J Thorac Cardiovasc Surg 135:1270–1279

    PubMed  Google Scholar 

  108. van Geldorp MWA, Jamieson WRE, Kappetein AP, Ye J, Fradet GJ, Eijkemans MJC, Grunkemeier GL, Bogers AJJC, Takkenberg JJM (2009) Patient outcome after aortic valve replacement with a mechanical or biological prosthesis: Weighing lifetime anticoagulant-related event risk against reoperation risk. J Thorac Cardiovasc Surg 137:881–886

    PubMed  Google Scholar 

  109. Nicks R, Cartmill T, Bernstein L (1970) Hypoplasia of the aortic root. The problem of aortic valve replacement. Thorax 25:339–346

    CAS  PubMed  Google Scholar 

  110. Yener A, Ozdemir A, Sinav A, Yener N, Hauf E (1993) New technique to enlarge the aortic annulus. Ann Thorac Surg 55:1260–1261

    CAS  PubMed  Google Scholar 

  111. Dhareshwar J, Sundt TM III, Dearani JA, Schaff HV, Cook DJ, Orszulak TA (2007) Aortic root enlargement: What are the operative risks? J Thorac Cardiovasc Surg 134:916–924

    PubMed  Google Scholar 

  112. Hopkins RA (2006) Aortic annuloplasty with aortic root reconstruction to prevent patient-prosthesis mismatch. J Heart Valve Dis 15:488–493

    PubMed  Google Scholar 

  113. Hopkins RA (2005) The small aortic root: Surgical techniques for annulus enlargement. In: Hopkins RA (ed) Cardiac reconstructions with allograft tissues 2005. Springer, New York

    Google Scholar 

  114. Manouguian S, Seybold-Epting W (1979) Patch enlargement of the aortic valve ring by extending the aortic incision into the anterior mitral leaflet. J Thorac Cardiovasc Surg 78:402–412

    CAS  PubMed  Google Scholar 

  115. Rittenhouse EA, Sauvage LR, Stamm SJ, Mansfield PB, Hall DG, Herndon PS (1979) Radical enlargement of the aortic root and outflow tract to allow valve replacement. Ann Thorac Surg 27:367–373

    CAS  PubMed  Google Scholar 

  116. Molina JE (2002) Enlargement of the aortic annulus using a double-patch technique: a safe and effective method. Ann Thorac Surg 73:667–670

    PubMed  Google Scholar 

  117. Okuyama H, Hashimoto K, Kurosawa H, Tanaka K, Sakamoto Y Shiratori K (2005) Midterm results of Manouguian double valve replacement: Comparison with standard double valve replacement. J Thorac Cardiovasc Surg 129:869–874

    PubMed  Google Scholar 

  118. Milson FP, Doty DB (1993) Aortic valve replacement and mitral valve repair with allograft. J Card Surg 8:350–357

    Google Scholar 

  119. Dearani JA, Orszulak TA, Schaff HV, Daly RC, Anderson BJ, Danielson GK (1997) Result of allograft aortic valve replacement for complex endocarditis. J Thorac Cardiovasc Surg 113:285–291

    CAS  PubMed  Google Scholar 

  120. Sabik JF, Lytle BW, Blackstone EH, Marullo AGM, Pettersson GB, Cosgrove DM (2002) Aortic root replacement with cryopreserved allograft for prosthetic valve endocarditis. Ann Thorac Surg 74:650–659

    PubMed  Google Scholar 

  121. Yankah AC, Pasic M, Klose H, Siniawski HS, Weng Y, Hetzer (2005) Homograft reconstruction of the aortic root for endocarditis with periannular abscess: a 17-year study. Eur J Cardiothorac Surg 28:69–75

    PubMed  Google Scholar 

  122. Peterson MK, Borger MA, Feindel CM, David TE (2007) Aortic annular enlargement during aortic valve replacement: Improving results with time. Ann Thorac Surg 83:2044–2049

    PubMed  Google Scholar 

  123. Nunez L, Aguado MG, Pinto AG, Larrea JL (1983) Enlargement of the aortic annulus by resecting the commissure between the left and noncoronary cusps. Tex Heart Inst J 10:301–303

    CAS  PubMed  Google Scholar 

  124. Borowski A, Kurt M (2008) A modification to the Manouguian Aortoplasty. Tex Heart Inst J 35:425–427

    PubMed  Google Scholar 

  125. Konno S, Imai Y, Iida Y, Nakajima M, Tatsuno K (1975) A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorac Cardiovasc Surg 70:909–917

    CAS  PubMed  Google Scholar 

  126. Rastan H, Koncz J (1975) Aortoventriculoplasty. A new technique for the treatment of left ventricular outlow tract obstruction. J. Thorac Cardiovasc Surg 71: 920–927

    Google Scholar 

  127. Misbach GA, Turley K, Ullyot DJ, Ebert PA (1982) Left ventricular enlargement by the Konno procedure. J Thorac Cardiovasc Surg 84:696–703

    CAS  PubMed  Google Scholar 

  128. Hopkins RA (2005) Aortoventriculoplasty with aortic allograft. In: Hopkins RA (ed) Cardiac Reconstructions with allograft tissues 2005. Springer, New York

    Google Scholar 

  129. Yamaguchi M, Ohashi H, Imai M, Oshima Y, Hosokawa Y (1991) Bilateral enlargement of the aortic valve ring for malve replacement in children. New operative technique. J Thorac Cardiovasc Surg 102:202–206

    CAS  PubMed  Google Scholar 

  130. Otaki M, Oku H, Nakamoto S, Kitayama H, Ueda M, Matsumoto T (1997) Two-directional aortic annular enlargement for aortic valve replacement in the small aortic annulus. Ann Thorac Surg 63:261–263

    CAS  PubMed  Google Scholar 

  131. Reddy VM, Rajasinghe HA, Teitel DF, Haas GS, Hanley FL (1996) Aortoventriculoplasty with the pulmonary autograft: The Ross-Konno procedure. J Thorac Cardiovasc Surg 111:158–167

    CAS  PubMed  Google Scholar 

  132. Starnes VA, Luciani GB, Wells WJ, Allen RB, Lewis AB (1996) Aortic root replacement with the pulmonary autograft in children with complex left heart obstruction. Ann Thorac Surg 62:442–449

    CAS  PubMed  Google Scholar 

  133. Elkins RC, Lane MM, McCue C (2001) Ross operation in children: Late results. J Heart Valve Dis 10:736–774

    CAS  PubMed  Google Scholar 

  134. Pasquali SK, Marino BS, Kaltman JR, Schissler AJ, Wernovsky G, Cohen MS, Spray TL, Tanel RE (2008) Rhythm and conduction disturbances at midterm follow-up after the Ross procedure in infants, children, and young adults. Ann thorac Surg 85:2072–2078

    PubMed  Google Scholar 

  135. Al-Halees Z, Pieters F, Qadoura F, Shahid M, Al-Amri M, Al-Fadley F (2002) The Ross procedure is the procedure of choice for congenital aortic valve disease. J Thorac Cardiovasc Surg 123:437–442

    PubMed  Google Scholar 

  136. Vouhe PR, Neveux JY (1991) Surgical management of diffuse subaortic stenosis: An integrated approach. Ann Thorac Surg 52:654–662

    CAS  PubMed  Google Scholar 

  137. Yacoub M, Omuzo O, Riedel B, Radley-Smith R (1999) Mobilization of the left and right fibrous trigones for relief of severe left ventricular outflow obstruction. J Thorac Cardiovasc Surg 117:126–133

    CAS  PubMed  Google Scholar 

  138. Doty DB (1997) Posterior enlargement of left ventricular outflow tract (Nicks-Nunez opration). In: Doty DB (ed) Cardiac surgery operative tehcnique 1997. Mosby-Year Book, St. Louis

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Northrup, W.F., Rollins, S.D. (2010). Aortic annuloplasty. In: Yankah, C.A., Weng, Y., Hetzer, R. (eds) Aortic Root Surgery. Steinkopff. https://doi.org/10.1007/978-3-7985-1869-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-7985-1869-8_12

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1868-1

  • Online ISBN: 978-3-7985-1869-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics