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Aortic Annulus Stabilization Using Internal Rings

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Advances in Treatments for Aortic Valve and Root Diseases

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Abstract

The past 20 years have seen the growing range of valve lesion etiologies turn nonvalvular conditions into the primary causes of aortic regurgitation [1]. Valves present relatively small lesions of the leaflets and concomitant dilatation of the ascending aorta with aortic regurgitation that can be explained thanks to our improved knowledge of the functional aortic annulus’ role in valve function. The geometric relations and dynamic behavior of aortic root components have been seen to ensure valve competence when leaflets have no structural lesions [2].

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References

  1. Boodhwani M, de Kerchove L, Glineur D, et al. Repair-oriented classification of aortic insufficiency: impact on surgical techniques and clinical outcomes. J Thorac Cardiovasc Surg. 2009;137:286–94.

    Article  Google Scholar 

  2. Ho SY. Structure and anatomy of the aortic root. Eur J Echocardiogr. 2009;10:i3–10.

    Article  Google Scholar 

  3. Carr JA, Savage EB. Aortic valve repair for aortic insufficiency in adults: a contemporary review and comparison with replacement techniques. Eur J Cardiothorac Surg. 2004;25:6–15.

    Article  Google Scholar 

  4. Minakata K, Schaff VH, Zehr JK, et al. Is repair of aortic valve regurgitation a safe alternative to valve replacement? J Thorac Cardiovasc Surg. 2004;127:645–53.

    Article  Google Scholar 

  5. Álvarez-Cabo R. Sparing aortic valve techniques. J Thoracic Dis. 2017;9(Suppl 6):S526–32.

    Article  Google Scholar 

  6. de Kerchove L, El Khoury G. Anatomy and pathophysiology of the ventriculo-aortic junction: implication in aortic valve repair surgery. Ann Cardiothorac Surg. 2013;2(1):57–64.

    PubMed  PubMed Central  Google Scholar 

  7. Erasmi AW, Sievers HH, Bechtel JF, et al. Remodeling or reimplantation for valve-sparing aortic root surgery? Ann Thorac Surg. 2007;83:S752–6. discussion S785-90.

    Article  Google Scholar 

  8. Patel ND, Weiss ES, Alejo DE, et al. Aortic root operations for Marfan syndrome: a comparison of the Bentall and valve-sparing procedures. Ann Thorac Surg. 2008;85(6):2003–10.

    Article  Google Scholar 

  9. Cabrol C, Cabrol A, Guiraudon G, et al. Treatment of aortic insufficiency by means of aortic annuloplasty. Arch Mal Coeur Vaiss. 1966;59:1305–12.

    CAS  PubMed  Google Scholar 

  10. Anderson RH, Devine WA, Ho SY, Smith A, McKay R. The myth of the aortic annulus: the anatomy of the subaortic outflow tract. Ann Thorac Surg. 1991;52:640–6.

    Article  CAS  Google Scholar 

  11. Fattouch K, Castrovinci S, Murana G, Nasso G, Guccione F, Dioguardi P, Salardino M, Bianco G, Speziale G. Functional annulus remodelling using a prosthetic ring in tricuspid aortic valve repair: mid-term results. Interact Cardiovasc Thorac Surg. 2014;18:49–55.

    Article  Google Scholar 

  12. Kerchove L d, Vismara R, Mangini A, Fiore GB, Price J, Noirhomme P, Antona C, Khoury GE. In vitro comparison of three techniques for ventriculo-aortic junction annuloplasty. Eur J Cardiothorac Surg. 2012;41:1117–24.

    Article  Google Scholar 

  13. Fattouch K, Sampognaro R, Speziale G, Ruvolo G. New technique for aortic valve functional annulus reshaping using a handmade prosthetic ring. Ann Thorac Surg. 2011;91:1154–8.

    Article  Google Scholar 

  14. Mazzitelli D, Fischlein T, Scott Rankin J, Choi Y-H, Stamm C, Pfeiffer S, Pirk J, Detter C, Kroll J, Beyersdorf F, Griffin CD, Shrestha M, Nöbauer C, Crooke PS, Schreiber C, Lange R. Geometric ring annuloplasty as an adjunct to aortic valve repair: clinical investigation of the HAART 300 device. Eur J Cardiothorac Surg. 2016;49:987–93.

    Article  Google Scholar 

  15. Richardt D, Bucsky B, Charitos EI, Sievers H-H, Scharfschwerdt M. A novel rigid annuloplasty ring for aortic valve reconstruction: an in vitro investigation. Ann Thorac Surg. 2014;97:811–5.

    Article  Google Scholar 

  16. Schäfers H-J. Aortic annuloplasty: a new aspect of aortic valve repair (editorial comment). Eur J Cardiothorac Surg. 2012;41:1124–5.

    Article  Google Scholar 

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Authors and Affiliations

  1. GVM Care and Research, Cardiovascular Department, University of Palermo, Viale Reggione Siciliana, Palermo, Italy

    Khalil Fattouch Ph.D., Tommaso Favara M.D., Francesco Guccione M.D. & Pietro Dioguardi M.D.

Authors
  1. Khalil Fattouch Ph.D.
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  2. Tommaso Favara M.D.
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  3. Francesco Guccione M.D.
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  4. Pietro Dioguardi M.D.
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Corresponding author

Correspondence to Pietro Dioguardi M.D. .

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, GVM Care and Research, MEH, University of Palermo, Palermo, Italy

    Khalil Fattouch

  2. Department of Cardiology, University of Liège, Liège, Belgium

    Patrizio Lancellotti

  3. Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, GA, USA

    Mani A. Vannan

  4. Cardiovascular Surgery Department, GVM Care & Research, Anthea Hospital, Bari, Italy

    Giuseppe Speziale

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Fattouch, K., Favara, T., Guccione, F., Dioguardi, P. (2018). Aortic Annulus Stabilization Using Internal Rings. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_11

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  • DOI: https://doi.org/10.1007/978-3-319-66483-5_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66482-8

  • Online ISBN: 978-3-319-66483-5

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