Abstract
We believe that most patients with aortic valve stenosis are suitable candidates for valve replacement in the current era. However, valvuloplasty is indicated in some cases, such as young patients who will require reoperation for prosthetic valves over the long term and suffer from concomitant stenosis due to localized sclerotic lesions. The methods for valvuloplasty include decalcification and slicing of the sclerotic lesion, and partial cusp replacement using tissue such as the autologous pericardium. We present two applicable cases.
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References
Cosgrove D, Ratliff N, Schaff H, Edwards W. Aortic valve decalcification: a new result. Ann Thorac Surg. 1990;49:689–90.
Craver J. Aortic valve debridement by ultrasonic surgical aspirator: a word of caution. Ann Thorac Surg. 1990;49:746–53.
Nezhad ZM, Kerchove L, Hechadi J, Tamer S, Boodhwani M, Poncelet A, et al. Aortic valve repair with patch in non-rheumatic disease: indication, techniques and durability. Eur J Cardiothorac Surg. 2014;46:997–1005.
Tolan MJ, Daubeney PE, Slavik Z, Keeton BR, Salmon AP, Monro JL. Aortic valve repair of congenital stenosis with bovine pericardium. Ann Thorac Surg. 1997;63:465–9.
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Abe, K., Kawazoe, K. (2019). How to Manage a Stenosed Bicuspid Valve. In: Kunihara, T., Takanashi, S. (eds) Aortic Valve Preservation. Springer, Singapore. https://doi.org/10.1007/978-981-13-2068-2_29
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DOI: https://doi.org/10.1007/978-981-13-2068-2_29
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