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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 435-438, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MA Sarsam and M Yacoub
Isolated aortic valve regurgitation that results from disease that
primarily affects the aortic wall can be repaired by remodeling of the
aortic anulus to restore its normal geometry. This involves excision of the
aortic wall to within 2 to 3 mm of the leaflet attachments, detachment of
the coronary ostia, reshaping of the anulus with the aid of a Dacron graft,
and then reimplantation of the coronary arteries. Increases in the surface
area of the leaflet that are caused by root dilatation are often present
and can be accommodated in the repair procedure. In this study we describe
our experience with 10 patients with annuloaortic ectasia who underwent the
remodeling procedure at the National Heart Hospital and the Royal Brompton
Hospital from 1982 to 1990.
ARTICLES
Remodeling of the aortic valve anulus
Department of Cardiothoracic Surgery, National Heart Hospital, London, England.
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G. A. El Khoury, M. J. Underwood, D. Glineur, D. Derouck, and R. A. Dion Reconstruction of the ascending aorta and aortic root: experience in 45 consecutive patients Ann. Thorac. Surg., October 1, 2000; 70(4): 1246 - 1250. [Abstract] [Full Text] [PDF]
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H.-J. Schafers, F. Langer, D. Aicher, T. P. Graeter, and O. Wendler Remodeling of the aortic root and reconstruction of the bicuspid aortic valve Ann. Thorac. Surg., August 1, 2000; 70(2): 542 - 546. [Abstract] [Full Text] [PDF]
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S. Ohtsubo, T. Itoh, M. Natsuaki, K. Furukawa, M. Yoshikai, H. Suda, and N. Minato Successful valve-sparing in aortic root reconstruction under endoscopic guidance Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 420 - 425. [Abstract] [Full Text] [PDF]
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K. J. Grande-Allen, R. P. Cochran, P. G. Reinhall, and K. S. Kunzelman RE-CREATION OF SINUSES IS IMPORTANT FOR SPARING THE AORTIC VALVE: A FINITE ELEMENT STUDY J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 753 - 762. [Abstract] [Full Text] [PDF]
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L. G. Svensson, J. Longoria, W. A. Kimmel, and E. Nadolny Management of aortic valve disease during aortic surgery Ann. Thorac. Surg., March 1, 2000; 69(3): 778 - 783. [Abstract] [Full Text] [PDF]
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A. D. Hilgenberg Ann. Thorac. Surg., March 1, 2000; 69(3): 783 - 784. [Full Text] [PDF]
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W. Harringer, K. Pethig, C. Hagl, G. P. Meyer, and A. Haverich Ascending Aortic Replacement With Aortic Valve Reimplantation Circulation, November 9, 1999; 100 (2009): II-24 - II-28. [Abstract] [Full Text] [PDF]
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M. Giambuzzi, S. Spagnolo, V. Dottori, E. Parodi, and G. De Gaetano Aortic valve reconstruction associated to ascending aorta tubular graft replacement in aortic incompetence by annuloaortic ectasia Eur. J. Cardiothorac. Surg., August 1, 1999; 14(2): 148 - 151. [Abstract] [Full Text] [PDF]
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K. Kamohara, T. Itoh, M. Natsuaki, H. Norita, and K. Naito Early valve failure after aortic valve-sparing root reconstruction Ann. Thorac. Surg., July 1, 1999; 68(1): 257 - 259. [Abstract] [Full Text] [PDF]
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W. Harringer, K. Pethig, C. Hagl, T. Wahlers, J. Cremer, and A. Haverich Replacement of ascending aorta with aortic valve reimplantation: midterm results Eur. J. Cardiothorac. Surg., June 1, 1999; 15(6): 803 - 808. [Abstract] [Full Text] [PDF]
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M. A. Ergin, D. Spielvogel, A. Apaydin, S. L. Lansman, J. N. McCullough, J. D. Galla, and R. B. Griepp Surgical treatment of the dilated ascending aorta: when and how? Ann. Thorac. Surg., June 1, 1999; 67(6): 1834 - 1839. [Abstract] [Full Text] [PDF]
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G. B. Luciani, G. Casali, A. Tomezzoli, and A. Mazzucco Recurrence of aortic insufficiency after aortic root remodeling with valve preservation Ann. Thorac. Surg., June 1, 1999; 67(6): 1849 - 1852. [Abstract] [Full Text] [PDF]
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J. A. M. van Son, R. Battellini, M. Mierzwa, T. Walther, R. Autschbach, and F. W. Mohr AORTIC ROOT RECONSTRUCTION WITH PRESERVATION OF NATIVE AORTIC VALVE AND SINUSES IN AORTIC ROOT DILATATION WITH AORTIC REGURGITATION J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1151 - 1155. [Abstract] [Full Text] [PDF]
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 V. L. Gott, P. S. Greene, D. E. Alejo, D. E. Cameron, D. C. Naftel, D. C. Miller, A. M. Gillinov, J. C. Laschinger, and R. E. Pyeritz Replacement of the Aortic Root in Patients with Marfan's Syndrome N. Engl. J. Med., April 29, 1999; 340(17): 1307 - 1313. [Abstract] [Full Text] [PDF]
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V. C Gasparyan Reconstruction of the aortic valve with autologous pericardium: An experimental study J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 197 - 198. [Full Text]
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H.-J. Schafers, R. Fries, F. Langer, N. Nikoloudakis, T. Graeter, and U. Grundmann VALVE-PRESERVING REPLACEMENT OF THE ASCENDING AORTA: REMODELING VERSUS REIMPLANTATION J. Thorac. Cardiovasc. Surg., December 1, 1998; 116(6): 990 - 996. [Abstract] [Full Text] [PDF]
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C. Bassano, R. De Paulis, A. Penta de Peppo, A. Tondo, L. Fratticci, G. M. De Matteis, A. Ricci, L. Sommariva, and L. Chiariello Residual aortic valve regurgitation after aortic root remodeling without a direct annuloplasty Ann. Thorac. Surg., October 1, 1998; 66(4): 1269 - 1272. [Abstract] [Full Text] [PDF]
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T. Itoh, S. Ohtsubo, K. Furukawa, and H. Norita AORTIC ROOT ENDOSCOPY IN VALVE-SPARING OPERATIONS J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 141 - 142. [Full Text]
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N. T. Kouchoukos and D. Dougenis Surgery of the Thoracic Aorta N. Engl. J. Med., June 26, 1997; 336(26): 1876 - 1889. [Full Text] [PDF]
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K. J. Fleischer, H. C. Nousari, G. J. Anhalt, C. D. Stone, and J. C. Laschinger Immunohistochemical Abnormalities of Fibrillin in Cardiovascular Tissues in Marfan's Syndrome Ann. Thorac. Surg., April 1, 1997; 63(4): 1012 - 1017. [Abstract] [Full Text]
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R. Moidl, A. Moritz, P. Simon, N. Kupilik, E. Wolner, and W. Mohl Echocardiographic Results After Repair of Incompetent Bicuspid Aortic Valves Ann. Thorac. Surg., September 1, 1995; 60(3): 669 - 672. [Abstract] [Full Text]
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N. T. Kouchoukos Reconstructive Surgery of the Aortic Root Ann. Thorac. Surg., September 1, 1995; 60(3): 734 - 735. [Full Text]
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P. Simon, A. Mortiz, R. Moidl, N. Kupilik, M. Grabenwoeger, M. Ehrlich, and M. Havel Aortic Valve Resuspension in Ascending Aortic Aneurysm Repair With Aortic Insufficiency Ann. Thorac. Surg., July 1, 1995; 60(1): 176 - 180. [Abstract] [Full Text]
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T. E. David, C. M. Feindel, and J. Bos Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm J. Thorac. Cardiovasc. Surg., February 1, 1995; 109(2): 345 - 352. [Abstract] [Full Text]
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