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Valve Sparing Aortic Root Procedure: Yacoub’s Procedure

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Essentials of Operative Cardiac Surgery
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Abstract

Aortic root replacement is performed for pathology of the aortic root, including aneurysm, dissection, connective tissue disease and in some cases, endocarditis of the aortic valve. Valve-sparing aortic root replacement (VSRR) is performed for aortic aneurysm when the aortic valve leaflets are normal and the aortic valve annulus is not dilated. The remodelling technique of aortic root replacement was originally described by Yacoub and colleagues and has the advantage of preserving the physiological properties of the aortic root. In this chapter, we describe our operative technique of VSRR using the remodelling technique.

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Abbreviations

CPB:

Cardiopulmonary bypass

LVOT:

Left ventricular outflow tract

RSPV:

Right superior pulmonary vein vent

RVOT:

Right ventricular outflow tract

STJ:

Sino-tubular junction

TOE:

Transoesophageal echocardiography

VSRR:

Valve sparing root replacement

References

  1. Charitos EI, Sievers H-H. Anatomy of the aortic root: implications for valve-sparing surgery. Ann Cardiothorac Surg. 2013;2(1):53–536.

    Google Scholar 

  2. Moscarelli M, De Paulis R. The golden perfection of the aortic valve. Int J Cardiol. 2016;205:165–6.

    Article  Google Scholar 

  3. Erasmi AW, Sievers HH, Bechtel JFM, Hanke T, Stierle U, Misfeld M. Remodeling or reimplantation for valve-sparing aortic root surgery? Ann Thorac Surg. 2007;83:S752–6.

    Article  Google Scholar 

  4. Patel ND, Weiss ES, Alejo DE, Nwakanma LU, Williams JA, Dietz HC, et al. Aortic root operations for Marfan syndrome: a comparison of the Bentall and valve-sparing procedures. Ann Thorac Surg. 2008;85:2003–10.

    Article  Google Scholar 

  5. Stamou SC, Williams ML, Gunn TM, Hagberg RC, Lobdell KW, Kouchoukos NT. Aortic root surgery in the United States: a report from the society of thoracic surgeons database. J Thorac Cardiovasc Surg. 2014;149(1):116–22.

    Article  Google Scholar 

  6. Lansac E, Di Centa I, Bonnet N, Leprince P, Rama A, Acar C, et al. Aortic prosthetic ring annuloplasty: a useful adjunct to a standardized aortic valve-sparing procedure? Eur J Cardiothorac Surg. 2006;29:537–44.

    Article  Google Scholar 

  7. Aicher D, Langer F, Lausberg H, Bierbach B, Schäfers HJ. Aortic root remodeling: ten-year experience with 274 patients. J Thorac Cardiovasc Surg. 2007;134:909–15.

    Article  Google Scholar 

  8. David TE. Current readings: aortic valve-sparing operations. Semin Thorac Cardiovasc Surg. 2014;26(3):231–8.

    Article  Google Scholar 

  9. Fries R, Graeter T, Aicher D, Reul H, Schmitz C, Böhm M, et al. In vitro comparison of aortic valve movement after valve-preserving aortic replacement. J Thorac Cardiovasc Surg. 2006;132(1):32–7.

    Article  Google Scholar 

  10. Yacoub MH, Aguib H, Gamrah MA, Shehata N, Nagy M, Donia M, et al. Aortic root dynamism, geometry, and function after the remodeling operation: clinical relevance. J Thorac Cardiovasc Surg. 2018;156(3):951–962.e2.

    Article  Google Scholar 

  11. De Paulis R, Chirichilli I, Scaffa R, Weltert L, Maselli D, Salica A, et al. Long-term results of the valve reimplantation technique using a graft with sinuses. J Thorac Cardiovasc Surg. 2016;151(1):112–9.

    Article  Google Scholar 

  12. Arabkhani B, Mookhoek A, Di Centa I, Lansac E, Bekkers JA, De Lind Van Wijngaarden R, et al. Reported outcome after valve-sparing aortic root replacement for aortic root aneurysm: a systematic review and meta-analysis. Ann Thorac Surg. 2015;100(3):1126–31.

    Article  Google Scholar 

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Correspondence to Marjan Jahangiri .

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Soppa, G., Bilkhu, R., Jahangiri, M., Yacoub, M. (2022). Valve Sparing Aortic Root Procedure: Yacoub’s Procedure. In: Punjabi, P.P., Kyriazis, P.G. (eds) Essentials of Operative Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-14557-5_16

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  • DOI: https://doi.org/10.1007/978-3-031-14557-5_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14556-8

  • Online ISBN: 978-3-031-14557-5

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