Surgical Treatment of Aortic Regurgitation with Preservation of the Aortic Valve

  • Jan VojacekEmail author
  • Pavel ZacekEmail author
  • Jan Dominik


Regurgitant aortic valve in case of a suitable morphology and the absence of stenosis does not need to be replaced but its preservation and repair may be attempted. Conserving aortic valve at surgery enables the patient to avoid antithrombotic therapy and minimalize complex valve-related risks for the long term. Aortic regurgitation is a complex result of aortic leaflets pathology and/or dilation pathology of the aortic root and ascending aorta. According to concrete patient pathology, reconstructive surgical interventions address three principal zones (aortic annulus, aortic leaflets, sinotubular junction—ascending aorta). A complex armamentarium of valve-sparing surgical interventions is discussed in detail, including also extraaortic conservative approaches.


Aortic valve repair Reimplantation of the aortic valve Remodelling of the aortic root Cusp plication Aortic wrapping 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Cardiac Surgery, Charles University, Faculty of Medicine in Hradec KrálovéUniversity Hospital Hradec KrálovéHradec KrálovéCzech Republic

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