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ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

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Valve Repair in Aortic Insufficiency: A State-of-the-art Review

Author(s): Leandros Sassis*, Pelagia Kefala-Karli, Irene Cucchi, Ilias Kouremenos, Michalis Demosthenous and Konstantinos Diplaris

Volume 19, Issue 1, 2023

Published on: 25 August, 2022

Article ID: e270422204131 Pages: 11

DOI: 10.2174/1573403X18666220427120235

Price: $65

Abstract

Aortic valve insufficiency (AI) describes the pathology of blood leaking through the aortic valve to the left ventricle during diastole and is classified as mild, moderate or severe according to the volume of regurgitating blood. Intervention is required in severe AI when the patient is symptomatic or when the left ventricular function is impaired. Aortic valve replacement has been considered the gold standard for decades for these patients, but several repair techniques have recently emerged that offer exceptional stability and long-term outcomes. The appropriate method of repair is selected based on the mechanism of AI and each patient’s anatomic variations. This review aims to describe different pathologies of AI based on its anatomy, along with the different surgical techniques of aortic repair and their reported results.

Keywords: Aortic insufficiency, aortic valve repair, aortic annuloplasty, aortic insufficiency classification, valve-sparing aortic root replacement.

Graphical Abstract

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