Recent Advances in Aortic Valve Replacement

Overview

Journal F1000Res

Specialties Biomedical Engineering
Science

Date 2019 Jul 30

PMID 31354937

Citations 6

Authors

Cristiano Spadaccio

Khalid Alkhamees

Nawwar Al-Attar

Affiliations

Soon will be listed here.

Abstract

Aortic valve replacement has stood the test of time but is no longer an operation that is exclusively approached through a median sternotomy using only sutured prostheses. Currently, surgical aortic valve replacement can be performed through a number of minimally invasive approaches employing conventional mechanical or bioprostheses as well as sutureless valves. In either case, the direct surgical access allows inspection of the valve, complete excision of the diseased leaflets, and debridement of the annulus in a controlled and thorough manner under visual control. It can be employed to treat aortic valve pathologies of all natures and aetiologies. When compared with transcatheter valves in patients with a high or intermediate preoperative predictive risk, conventional surgery has not been shown to be inferior to transcatheter valve implants. As our understanding of sutureless valves and their applicability to minimally invasive surgery advances, the invasiveness and trauma of surgery can be reduced and outcomes can improve. This warrants further comparative trials comparing sutureless and transcatheter valves.

Citing Articles

Emerging hybrid techniques in aortic valve interventions: A systematic review of integrating surgical and transcatheter approaches.

Gohil N, Muzammil M, Shariq A, Shahid M, Eugene M, Haseeb M Int J Health Sci (Qassim). 2025; 19(2):66-77.

PMID: 40046796 PMC: 11877059.

Precise reconstruction of the aortic valve using glutaraldehyde-treated autologous pericardium in new formula: a case report.

Sabzi F, Heydari A, Asadmobini A J Med Case Rep. 2024; 18(1):314.

PMID: 38978082 PMC: 11232156. DOI: 10.1186/s13256-024-04637-6.

Differential Impact of Blood Pressure Control Targets on Epicardial Coronary Flow After Transcatheter Aortic Valve Replacement.

Vogl B, Chavez-Ponce A, Wentworth A, Erie E, Yadav P, Thourani V Struct Heart. 2024; 8(1):100230.

PMID: 38283570 PMC: 10818148. DOI: 10.1016/j.shj.2023.100230.

Novel Aortic Valve Replacement Technique for Reducing Complete Heart Block.

Roshanravan N, Tarighat F, Pahlavan S, Parvizi M, Banisefid E, Abolhasani S J Tehran Heart Cent. 2023; 18(3):177-182.

PMID: 38146406 PMC: 10748663. DOI: 10.18502/jthc.v18i3.14112.

Short- and long-term outcome after surgical aortic valve replacement in patients on dialysis.

Perrotta S, Nielsen S, Hansson E, Lepore V, Martinsson A, Jeppsson A J Thorac Dis. 2022; 14(2):269-277.

PMID: 35280474 PMC: 8902132. DOI: 10.21037/jtd-21-1410.

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