ONE-POINT ADVICE: The Advantages and Disadvantages of Valsalva Grafts

  • Atsushi ShimizuEmail author


The bulging shape characteristic of the sinuses of Valsalva plays an important role in opening and closing the aortic valve [1] and maintaining coronary perfusion. For this reason, various measures are attempted during valve-sparing aortic root reconstructions (VSARR) to recreate the sinuses of Valsalva. One of these measures involves the use of a Valsalva graft to perform VSRRR during the reimplantation [2] or remodeling [3] procedure, and favorable outcomes have been reported.


  1. 1.
    Pisani G, Scaffa R, Ieropoli O, Dell’Amico EM, Maselli D, Morbiducci U, et al. Role of the sinuses of valsalva on the opening of the aortic valve. J Thorac Cardiovasc Surg. 2013;145:999–1003.CrossRefGoogle Scholar
  2. 2.
    De Paulis R, Scaffa R, Nardella S, Maselli D, Weltert L, Bertoldo F, et al. Use of the valsalva graft and long-term follow-up. J Thorac Cardiovasc Surg. 2010;140:S23–2.CrossRefGoogle Scholar
  3. 3.
    Lansac E, Di Centa I, Sleilaty G, Crozat EA, Bouchot O, Hacini R, et al. An aortic ring: from physiologic reconstruction of the root to a standardized approach for aortic valve repair. J Thorac Cardiovasc Surg. 2010;140:S28–35.CrossRefGoogle Scholar
  4. 4.
    Schäfers HJ, Schmied W, Marom G, Aicher D. Cusp height in aortic valves. J Thorac Cardiovasc Surg. 2013;146:269–74.CrossRefGoogle Scholar
  5. 5.
    de Kerchove L, Boodhwani M, Glineur D, Noirhomme P, El Khoury G. A new simple and objective method for graft sizing in valve-sparing root replacement using the reimplantation technique. Ann Thorac Surg. 2011;92:749–51.CrossRefGoogle Scholar
  6. 6.
    Richardt D, Karluss A, Schmidtke C, Sievers HH, Scharfschwerdt M. A new sinus prosthesis for aortic valve-sparing surgery maintaining the shape of the root at systemic pressure. Ann Thorac Surg. 2010;89:943–6.CrossRefGoogle Scholar
  7. 7.
    Scharfschwerdt M, Leonhard M, Lehmann J, Richardt D, Goldmann H, Sievers HH. In vitro investigation of a novel elastic vascular prosthesis for valve-sparing aortic root and ascending aorta replacement. Eur J Cardiothorac Surg. 2016;49:1370–3.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgerySakakibara Heart InstituteTokyoJapan

Personalised recommendations