• Z Kardiol · Oct 2000

    [Reconstruction of the bicuspid aortic valve].

    • F Langer, O Wendler, T Graeter, N Nikoloudakis, D Aicher, R Fries, and H J Schäfers.
    • Abteilung für Thorax- u. Herz-Gefässchirurgie, Universitätskliniken des Saarlandes, Homburg/Saar.
    • Z Kardiol. 2000 Oct 1; 89 (10): 932-8.

    AbstractReconstruction of a regurgitant bicuspid aortic valve is a new alternative to aortic valve replacement. With concomitant aortic root dilatation adequate reconstruction is feasible by valve-sparing aortic replacement. Between 10/95 and 02/00, 30 patients underwent reconstruction of a regurgitant bicuspid aortic valve. Additional aortic replacement was performed in 23 cases. Valve reconstruction was performed by plication of the prolapsing leaflet. No patient died peri- or postoperatively. Freedom from aortic valve regurgitation > or = II as well as freedom from reoperation were 100% after 48 months. Reconstruction of a regurgitant bicuspid aortic valve is feasible with encouraging mid-term results. With concomitant dilatation of the ascending aorta, a combination of aortic replacement and valve reconstruction can achieve stable results even in bicuspid valve anatomy.

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