aortic regurgitation with and without ascending aortic aneurysm: valve repair techniques marko...

AORTIC REGURGITATION WITH AND WITHOUT ASCENDING AORTIC

ANEURYSM: VALVE REPAIR TECHNIQUES

MARKO TURINA University Hospital

Zurich, Switzerland

Two dimensional echocardiogram.

Evangelista A Heart 2010;96:979-985

Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

Loss of commissural support due to dilatation of sino-tubular junction

Repair-oriented functional classification of aortic insufficiency with a description of disease mechanisms and repair techniques employed.

Boodhwani M et al. MMCTS 2009;2009:mmcts.2008.003806

© 2009 European Association for Cardio-thoracic Surgery

These diagrams demonstrate the static and basic functional anatomy of the aortic root valve complex.

Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897

© 2003 Elsevier B.V.

Tirone David I. the sequence demonstrates the surgical approach described initially by Tirone David in 1992, which is now known as the reimplantation technique (TD I).

Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897

© 2003 Elsevier B.V.

Sarsam and Yacoub 1993 technique of remodeling.

Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897

© 2003 Elsevier B.V.

1995 Tirone David II Remodeling.

Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897

© 2003 Elsevier B.V.

1996 Tirone David III Remodeling.

Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897

© 2003 Elsevier B.V.

DANGEROUS TECHNIQUE, TO BE

AVOIDED

Cusp shortening with 7-0 PTFE suture

http://www.youtube.com/watch?v=JPH5nwnFgQk

http://www.youtube.com/watch?v=eudbXsxIppE&feature=related

http://mmcts.oxfordjournals.org/cgi/collection/aortic_valve_repair

http://mmcts.oxfordjournals.org/content/2009/0702/mmcts.2008.0

03806.full

Some instructive video clips and MMCTS contributions