Valve-sparing operations for the treatment of aortic root disease with a structurally normal aortic valve are increasingly performed as they avoid prosthesis-related complications. Short- and long-term results are critically dependent on perfect intraoperative restoration of valve anatomy and function. Residual aortic regurgitation is the main cause of early failure, and it is the most common motive for reoperation. However, intraoperative morphofunctional valve assessment requires expertise, and only transesophageal echocardiography can provide reliable information. We describe a simple, economic, reproducible hydrostatic test to intraoperatively evaluate valve competency under direct visualization.

Leone, A., Bruno, P., Cammertoni, F., Massetti, M., A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery, <<THE ANNALS OF THORACIC SURGERY>>, 2015; 100 (1): 331-333. [doi:10.1016/j.athoracsur.2015.02.120] [http://hdl.handle.net/10807/69369]

A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery

Leone, Alessandro;Bruno, Piergiorgio;Cammertoni, Federico;Massetti, Massimo
2015

Abstract

Valve-sparing operations for the treatment of aortic root disease with a structurally normal aortic valve are increasingly performed as they avoid prosthesis-related complications. Short- and long-term results are critically dependent on perfect intraoperative restoration of valve anatomy and function. Residual aortic regurgitation is the main cause of early failure, and it is the most common motive for reoperation. However, intraoperative morphofunctional valve assessment requires expertise, and only transesophageal echocardiography can provide reliable information. We describe a simple, economic, reproducible hydrostatic test to intraoperatively evaluate valve competency under direct visualization.
Inglese
Leone, A., Bruno, P., Cammertoni, F., Massetti, M., A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery, <<THE ANNALS OF THORACIC SURGERY>>, 2015; 100 (1): 331-333. [doi:10.1016/j.athoracsur.2015.02.120] [http://hdl.handle.net/10807/69369]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/69369
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