Surgical outcomes of aortic valve repair for specific aortic valve cusp characteristics; retraction, calcification and fenestration.

Publication history

Publication stage

Footnotes

Frederiek de Heer: Writing – original draft, Methodology, Formal analysis, Data curation. Laurent de Kerchove: Writing – review & editing, Project administration, Methodology, Data curation, Conceptualization. Sulayman el Mathari: Writing – original draft, Visualization, Validation, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. Noor Boulidam: Writing – original draft, Visualization, Project administration, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. Jos W.R. Twisk: Writing – review & editing, Visualization, Validation, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. Jolanda Kluin: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Methodology, Investigation, Data curation, Conceptualization. Hans-Joachim Schäfers: Writing – review & editing, Validation, Methodology, Formal analysis, Data curation. Emmanuel Lansac: Writing – review & editing, Methodology, Investigation, Data curation, Conceptualization

Disclosure statement

All authors declare no conflicts of interest.

Funding statement

None declared.

Institutional review board approval

This study was approved by the Medical Ethics Committee from the Amsterdam University Medical Center (reference number: 15.0236; date: 22/07/2015) and all Ethical Committees from participating centers.

Informed consent statement

Individual informed consent was waived for each participating patient in this study.

CENTRAL PICTURE. Aortic valve cusp retraction, calcification and fenestration are challenging phenotypes for surgical aortic valve repair.

Central message

Aortic valve cusp calcification and retraction seem relative contraindications for aortic valve repair. In case of cusp fenestration, surgeons are able to select the right cases for aortic valve repair.

Perspective

This study reinforces the notion that specific cusp characteristics can influence outcomes of aortic valvuloplasty. Cusp calcification and retraction were associated with recurrence of severe aortic regurgitation, whilst cusp retraction was associated with aortic valve-related reintervention. Better understanding of these characteristics could aid in deciding upon aortic valve repair feasibility.

Identification

DOI: https://doi.org/10.1016/j.jtcvs.2023.05.020

Copyright

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