Ultrasound Measurement of Aortic Valves

  • Keitaro MaharaEmail author


The standard surgical treatment for aortic regurgitation (AR) is aortic valve replacement. In the latest guidelines on valvular heart disease published in 2014 by the American Heart Association (AHA) and the American College of Cardiology (ACC) [1]. However, in cases of AR caused by enlargement of the aortic root, it is stated that valve-sparing aortic root replacement can be one of the choices when the cusp configuration is maintained. In the guidelines released in 2017 by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) [2], positive results were announced for aortic valvuloplasty performed at facilities with high experience [3–6]. Although the number of aortic valvuloplasties has increased compared to that of aortic valve replacements, the guidelines state that aortic valve replacement is still the standard surgical treatment.


  1. 1.
    Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Guyton RA, ACC/AHA Task Force Members, et al. 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129:2440–92.CrossRefGoogle Scholar
  2. 2.
    Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, ESC Scientific Document Group, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2017;38:2739–91.CrossRefGoogle Scholar
  3. 3.
    Aicher D, Fries R, Rodionycheva S, Schmidt K, Langer F, Schäfers HJ. Aortic valve repair leads to a low incidence of valve-related complications. Eur J Cardiothorac Surg. 2010;37:127–32.CrossRefGoogle Scholar
  4. 4.
    Vohra HA, Whistance RN, De Kerchove L, Punjabi P, El Khoury G. Valve-preserving surgery on the bicuspid aortic valve. Eur J Cardiothorac Surg. 2013;43:888–98.CrossRefGoogle Scholar
  5. 5.
    Arabkhani B, Mookhoek A, Di Centa I, Lansac E, Bekkers JA, De Lind Van Wijngaarden R, et al. Reported outcome after valve-sparing aortic root replacement for aortic root aneurysm: a systematic review and metaanalysis. Ann Thorac Surg. 2015;100:1126–31.CrossRefGoogle Scholar
  6. 6.
    Lansac E, Di Centa I, Sleilaty G, Lejeune S, Khelil N, Berrebi A, et al. Long-term results of external aortic ring annuloplasty for aortic valve repair. Eur J Cardiothorac Surg. 2016;50:350–60.CrossRefGoogle Scholar
  7. 7.
    Boodhwani M, de Kerchove L, Glineur D, Poncelet A, Rubay J, Astarci P, et al. Repair-oriented classification of aortic insufficiency: impact on surgical techniques and clinical outcomes. J Thorac Cardiovasc Surg. 2009;137:286–94.CrossRefGoogle Scholar
  8. 8.
    Schäfers HJ, Schmied W, Marom G, Aicher D. Cusp height in aortic valves. J Thorac Cardiovasc Surg. 2013;146:269–74.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Director of Echocardiography LaboratorySakakibara Heart InstituteTokyoJapan

Personalised recommendations