Skip to main content
SpringerLink
Log in

Aortic Valve Surgery

  • Chapter
Illustrated Handbook of Cardiac Surgery

  • 224 Accesses

Abstract

Surgery of the aortic valve spans all age groups and encompasses a broad spectrum of pathologic anatomy and surgical technique. In this chapter we will illustrate aortic valvotomy and replacement and briefly review surgical relief of other forms of left ventricular outflow obstruction.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight 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.

Bibliography

  • Akins CW: Mechanical cardiac valular prostheses. Ann Thorac Surg 52: 161, 1991.

    Article  PubMed  CAS  Google Scholar 

  • Barratt-Boyes BG: A method for preparing and inserting a homograft aortic valve. Br J Surg 52: 847, 1965.

    Article  PubMed  CAS  Google Scholar 

  • Barratt-Boyes BG, Roche AHG, Subramanyan R, Pemberton JR, Whitlock RML: Long-term follow-up of patients with the antibiotic-sterilized aortic homograft valve inserted freehand in the aortic position. Circulation 75: 768, 1987.

    Article  PubMed  CAS  Google Scholar 

  • Blank RH, Pupello DF, Bessone LN, Harrison EE, Sbar S: Method of managing the small aortic annulus during valve replacement. Ann Thorac Surg 22: 356, 1976.

    Article  PubMed  CAS  Google Scholar 

  • Bonow RO, Epstein SE: Is preoperative left ventricular function predictive of survival and functional results after aortic valve replacement for chronic aortic regurgitation? J Am Coll Cardiol 10: 713, 1987.

    Article  PubMed  CAS  Google Scholar 

  • Bonow RO, Picone AL, McIntosh CL, Jones M, Rosing DR, Maron BJ, Lakatos E, Clark RE, Epstein SE: Survival and functional results after valve replacement for aortic regurgitation from 1976 to 1983: impact of preoperative left ventricular function. Circulation 72: 1244, 1985.

    Article  PubMed  CAS  Google Scholar 

  • Bonow RO, Rosing DR, Maron BJ, McIntosh CL, Jones M, Bacharach SL, Green MV, Clark RE, Epstein SE: Reversal of left ventricular dysfunction after aortic valve replacement for chronic aortic regurgitation: influence of duration of preoperative left ventricular dysfunction. Circulation 70: 570, 1984.

    Article  PubMed  CAS  Google Scholar 

  • Bonow RO, Rosing DR, McIntosh CL, Jones M, Maron BJ, Lan KKG, Lakatos E, Bacharach SL, Green MV, Epstein SE: The natural history of asymptomatic patients with aortic regurgitation and normal left ventricular function. Circulation 68: 509, 1983.

    Article  PubMed  CAS  Google Scholar 

  • Borer JS, Bacharach SL, Green MV, Kent KM, Henry WL, Rosing DR, Seides SF, Johnston GS, Epstein SE: Exercise-induced left ventricular dysfunction in symptomatic and asymptomatic patients with aortic regurgitation: assessment with radionuclide cineangiography. Am J Cardiol 42: 351, 1978.

    Article  PubMed  CAS  Google Scholar 

  • Braunwald E, Lambrew CT, Rockoff SD, Ross J Jr, Morrow AG: Idiopathic hypertrophic subaortic stenosis: I. A description of the disease based upon an analysis of 64 patients. Circulation 30: 3, 1964.

    PubMed  Google Scholar 

  • Carabello BA: The changing unnatural history of valvular regurgitation. Ann Thorac Surg 53: 191, 1992.

    Article  PubMed  CAS  Google Scholar 

  • Cooley DA, Norman JC, Mullins CE, Grace RR: Left ventricle to abdominal aorta conduits for relief of aortic stenosis. Cardiovasc Dis, Bull Texas Heart Inst 2: 376, 1975.

    Google Scholar 

  • Cribier A, Savin T, Berland J, Rocha P, Mechmeche R, Saoudi N, Behar P, Letac B: Percutaneous transluminal balloon valvuloplasty of adult aortic stenosis: report of 92 cases. J Am Coll Cardiol 9: 381, 1987.

    Article  PubMed  CAS  Google Scholar 

  • Czer LSC, Chaux A, Matloff JM, DeRobertis MA, Nessim SA, Scarlata D, Knan SS, Kass RM, Tsai RP, Blanche C, Gray RJ: Ten-year experience with the St. Jude Medical valve for primary valve replacement. J Thorac Cardiovasc Surg 100: 44, 1990.

    PubMed  CAS  Google Scholar 

  • Doty DB, Polanky DB, Jenson CB: Supravalvular aortic stenosis. Repair by extended aortoplasty. J Thorac Cardiovasc Surg 74: 362, 1971.

    Google Scholar 

  • Elkins RC, Santangelo K, Stelzer P, Randolph JD, Knott-Craig CJ: Pulmonary autograft replacement of the aortic valve: an evolution of technique. J Card Surg 7: 108, 1992.

    Article  PubMed  CAS  Google Scholar 

  • Frommelt MA, Snider AR, Bove EL, Lupinetti FM: Echocardiographic assessment of subvalvular aortic stenosis before and after operation. J Am Coll Cardiol 19: 1018, 1992.

    Article  PubMed  CAS  Google Scholar 

  • Gerosa G, McKay R, Davies J, Ross DN: Comparison of the aortic homograft and the pulmonary autograft for aortic valve or root replacement in children. J Thorac Cardiovasc Surg 102: 51, 1991.

    PubMed  CAS  Google Scholar 

  • Gerosa G, McKay R, Ross DN: Replacement of the aortic valve or root with a pulmonary autograft in children. Ann Thorac Surg 51: 424, 1991.

    Article  PubMed  CAS  Google Scholar 

  • Grigg LE, Wigle ED, Williams WG, Daniel LB, Rakowski H: Transesophageal doppler echocardiography in obstructive hypertrophic cardiomyopathy: clarification of pathophysiology and importance in intraoperative decision making. J Am Coll Cardiol 20: 42, 1992.

    Article  PubMed  CAS  Google Scholar 

  • Grunkemeier GL, Starr A, Rahimtoola SH: Prosthetic heart valve performance: long-term follow-up. Curr Probl Cardiol 17: 333, 1992.

    Google Scholar 

  • Hopkins RA: Cardiac Reconstructions with Allograft Valves. New York, Springer-Verlag, 1989.

    Google Scholar 

  • Jamieson WRE, Burr LH, Munro AI, Miyagishima RT, Gerein AN: Cardiac valve replacement in the elderly: clinical performance of biological prostheses. Ann Thorac Surg 48: 173, 1989.

    Article  PubMed  CAS  Google Scholar 

  • Karl TR, Sano S, Brawn WJ, Mee RBB: Critical aortic stenosis in the first month of life: surgical results in 26 infants. Ann Thorac Surg 50: 105, 1990.

    Article  PubMed  CAS  Google Scholar 

  • Konno S, Imai Y, Iida Y, Nakajima M, Tatsuno K: A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic ring. J Thorac Cardiovasc Surg 70: 910, 1975.

    Google Scholar 

  • Lababidi Z, Wu J-R, Walls JT: Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol 53: 194, 1984.

    Article  PubMed  CAS  Google Scholar 

  • Leichter DA, Sullivan I, Gersony WM: “Acquired” discrete subvalvular aortic stenosis: natural history and hemodynamics. J Am Coll Cardiol 14: 1539, 1989.

    Article  PubMed  CAS  Google Scholar 

  • Leung MP, McKay R, Smith A, Anderson RH, Arnold R: Critical aortic steno-sis in early infancy: anatomic and echocardiographic substrates of successful open valvotomy. J Thorac Cardiovasc Surg 101: 526, 1991.

    PubMed  CAS  Google Scholar 

  • Levinson JR, Akins CW, Buckley MJ, Newell JB, Palacios IF, Block PC, Fifer MA: Octogenarians with aortic stenosis: outcome after aortic valve replacement. Circulation 80 (Suppl I): 1–49, 1989.

    Google Scholar 

  • Matsuki O, Robles A, Gibbs S, Bodnar E, Ross DN: Long-term performance of 555 aortic homografts in the aortic position. Ann Thorac Surg 46: 187, 1988.

    Article  PubMed  CAS  Google Scholar 

  • McAlpine WA: Heart and Coronary Arteries. Berlin, Heidelberg, New York, Springer-Verlag, 1975.

    Google Scholar 

  • McAnulty JH, Rahimtoola SH: Surgery for infective endocarditis. JAMA 242: 77, 1979.

    Article  PubMed  CAS  Google Scholar 

  • Morrow AG, Reitz BA, Epstein SE, Henry WL, Conkle DM, Itscoitz SB, Redwood DR: Operative treatment in hypertrophic subaortic stenosis: techniques and the results of pre-and postoperative assessment in 83 patients. Circulation 52: 88, 1975.

    PubMed  CAS  Google Scholar 

  • NHLBI Balloon Valvuloplasty Registry Participants: Percutaneous balloon aortic valvuloplasty: acute and 30-day follow-up results in 674 patients from the NHLBI balloon valvuloplasty registry. Circulation 84: 2383, 1991.

    Google Scholar 

  • O’Brien MF, Stafford EG, Gardner MAH, Pohlner PG, McGriffin DC, Kirklin JW: A comparison of aortic valve replacement with viable cryopreserved and fresh allograft valves, with a note on chromosomal studies. J Thorac Cardiovasc Surg 94: 812, 1987.

    PubMed  Google Scholar 

  • Rahimtoola SH: Perspective on valvular heart disease: an update. J Am Coll Cardiol 14: 1, 1989.

    Article  PubMed  CAS  Google Scholar 

  • Rapaport E: Natural history of aortic and mitral valve disease. Am J Cardiol 35: 221, 1975.

    Article  PubMed  CAS  Google Scholar 

  • Rhodes LA, Colan SD, Perry SB, Jonas RA, Sanders SP: Predictors of survival in neonates with critical aortic stenosis. Circulation 84:2325,1991.

    PubMed  CAS  Google Scholar 

  • Ross DN: Homograft replacement of the aortic valve. Lancet 2: 487, 1962.

    Article  PubMed  CAS  Google Scholar 

  • Ross DN: Replacement of the aortic and mitral valves with a pulmonary autograft. Lancet 2: 956, 1967.

    Article  PubMed  CAS  Google Scholar 

  • Ross DN: Technique of aortic valve replacement with a homograft orthotopic replacement. Ann Thorac Surg 52: 154, 1991.

    Article  PubMed  CAS  Google Scholar 

  • Starr A, Dotter C, Griswold HE: Supravalvular aortic stenosis: diagnosis and treatment. J Thorac Cardiovasc Surg 81: 134, 1961.

    Google Scholar 

  • Stewart JR, Merrill WH, Hammon JW Jr, Graham TP, Bender HW: Reappraisal of localized resection for subvalvar aortic stenosis. Ann Thorac Surg 50: 197, 1990.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Thoracic and Cardiovascular Surgery, Sutter Memorial Hospital, 5301 F Street, Suite 312, Sacramento, California, 95819, USA

    Bradley J. Harlan MD (Assistant Clinical Professor of Surgery, Associate Professor of Surgery)

  2. Davis Medical School, University of Califorania, 5301 F Street, Suite 312, Sacramento, California, 95819, USA

    Bradley J. Harlan MD (Assistant Clinical Professor of Surgery, Associate Professor of Surgery)

  3. Oregon Health Sciences University, 5301 F Street, Suite 312, Portland, Oregon, 95819, USA

    Bradley J. Harlan MD (Assistant Clinical Professor of Surgery, Associate Professor of Surgery)

  4. Oregon Health Sciences University, Portland, Oregon, USA

    Albert Starr MD (Professor of Surgery, Director)

  5. Heart Institute at St. Vincent Hospital, Portland, Oregon, USA

    Albert Starr MD (Professor of Surgery, Director)

  6. Starr-Wood Cardiac Group, P.C., 9155 SW Barnes Rd., Suite 240, Portland, Oregon, 97225-6629, USA

    Albert Starr MD (Professor of Surgery, Director)

  7. Harwin Studios, 9101 SW 15th Avenue, Portland, Oregon, 97219, USA

    Fredric M. Harwin BFA, MS

Authors
  1. Bradley J. Harlan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Albert Starr MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fredric M. Harwin BFA, MS
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Harlan, B.J., Starr, A., Harwin, F.M. (1996). Aortic Valve Surgery. In: Illustrated Handbook of Cardiac Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2324-5_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-2324-5_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-94447-0

  • Online ISBN: 978-1-4612-2324-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation