Abstract
The shape of the aortic valve leaflet was first described by Philiston [1] in the 4th century BC as semilunar, and in 1513 Leonardo da Vinci [3] depicted in a drawing the geometry of the orifice of an opened and closed aortic valve as triangular and with three adjacent hemispherical forms, respectively (Figs. 1–3). Valsalva described the aortic sinuses in 1740 and suggested that the coronary artery filling takes place in the sinuses during diastole [4]. Recent echocardiographic and computed tomographic descriptions of the aortic valve and root diseases [5–7] and their relationship to the coronary artery origins have documented the importance of imaging the aortic root and the impact on the technical artistry of aortic root replacement, valve-sparing surgery, and minimally invasive transcatheter aortic valve replacement (Figs. 4–7) [8–12]. In fact, 2.9% of adults older than 65 years have calcific aortic stenosis [7].
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References
Leboucq G (1944) Une anatomie antique du Coeur human. Philiston de Locroi et le timee’ de Plation. Rev Grecques 57:7
Sarton G (1952) A history of science. I Ancient science through the golden age of Greece. Harvard University Press, Cambridge, Massachusetts
Leonardo da Vinci (1977) Anatomical drawings from the Royal collections. The Royal Academy of Arts, London, p 35A
Valsalva AM (1740) Arteria magnae sinus. In: Morgagni JB (ed) Opera, pp 1–129
Siniawski H, Lehmkuhl H, Weng Y, Pasic M, Yankah C, Hoffman M, Behnke I, Hetzer R (2003) Stentless aortic valves as an alternative to homografts for valve replacement in active infective endocarditis complicated by ring abscess. Ann Thorac Surg 75:803–808
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); Society of Cardiovascular Anesthesiologists, Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD et al (2006) ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. Circulation 114:e84–e231
Otto CM, Lind BK, Kitzman DW, Gersh BJ, Siscovick DS (1999) Association of aortic valve sclerosis with cardiovascular mortality and morbidity in the elderly. N Engl J Med 341:142–147
Walther T, Simon P, Dewey T, Wimmer-Greinecker G, Falk V, Kasimir MT, Doss M, Borger M, Schuler G, Glogar D, Fehske W, Wolner E, Mohr F, Mack M (2007) Transapical minimally invasive aortic valve implantation. Multicenter experience. Circulation 116(Suppl I):I240–I245
Walther T, Dewey T, Borger M, Kempfert J, Linke A, Becht R, Falk V, Schuler G, Mohr F, Mack M (2008) Human minimally invasive off-pump valve-in-valve implantation: Step by step. Ann Thorac Surg 85:1072–1073
Grube E, Schuler G, Blumenthal 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
Webb JG, Chandavimol M, Thompson CR et al (2006) Percutaneous aortic valve implantation retrograde from the femoral artery. Circulation 113:842–850
Lieberman EB, Bashore TM et al (1995) Balloon aortic valvuloplasty in adults. Failure of procedure to improve long-term survival. J Amer Coll Cardiol 26:1522–1528
Bentall H, De Bono A (1968) A technique for complete replacement of the ascending aorta. Thorax 23:338–339
Petrou M, Wong K, Albertucci M, Brecker SJ, Yacoub MH (1994) Evaluation of unstented aortic homografts for the treatment of prosthetic aortic valve endocarditis. Circulation 90(Part 2):II-198–II-204
Yankah AC, Pasic M, Klose H, Siniawski H, Weng Y, Hetzer R (2005) Homograft reconstruction of the aortic root for endocarditis with periannular abscess: a 17-year study. Eur J Cardiothorac Surg 28:69–75
Yankah AC, Sievers HH, Buersch JH, Radtcke W, Lange PE, Heintzen PH, Bernhard A (1984) Orthotopic transplantation of aortic valve allograft. Early hemodynamic results. Thorac Cardiovasc Surgeon 32:92–95
Mogovern GJ, Kent EM, Cromie HW (1962) Sutureless artificial heart valves. Circulation 27:2784–2788
Zlotnick AY, Shiran A, Lewis BS, Aravot D (2008) A perfectly functioning Magovern-Cromie sutureless prosthetic aortic valve 42 years after implantation. Circulation 117:e1–e2
Walther T, Dewey T, Borger M, Kempfert J, Linke A, Becht R, Falk V, Schuler G, Mohr F, Mack M (2009) Transapical aortic valve implantation: Step by step. Ann Thorac Surg 87:276–283
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Yankah, C.A. et al. (2010). The aortic root. In: Yankah, C.A., Weng, Y., Hetzer, R. (eds) Aortic Root Surgery. Steinkopff. https://doi.org/10.1007/978-3-7985-1869-8_2
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DOI: https://doi.org/10.1007/978-3-7985-1869-8_2
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-1868-1
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