Valve Surgery
Aortic Valve Reconstruction
Aortic valve repair can be performed in cases of incompetence (impaired closure) with intact morphology of the valve.
The main advantage of valve repair is that the patient keeps having his own valve with its optimal homodynamic performance without the need of anticoagulation.
The idea of aortic valve repair is to excise parts of the aortic wall including the sinuses of Valsalva with the preservation of the aortic valve itself. The openings of the coronary arteries are isolated with a rim of aortic wall to take a button shape. The whole valve apparatus is then implanted inside a Dacron tube graft with or without sinuses. The tube graft is fixed to the valve ring using U-shape sutures (David rpair).
In Yacoub repair, the Dacron graft is tailored to fit the rim of aortic wall after excision of the sinuses of Valsalva. The aortic valve ring is then enforced by Teflon strips. In both types of aortic repair, the coronary buttons are sutured to the tube graft. Very good postoperative results are demonstrated in both types of repair by Echocardiography. Young patients are supposed to profit the most from this kind of operations although long-term results are not yet available.
Please also take notice of the Therapy Practices
For more details please visite the Guidebook for Patients
