Aortic Valve Preservation

Takashi KuniharaChairman and Professor, Department of Cardiac Surgery, Jikei University School of Medicine Shuichiro TakanashiChief Surgeon, Cardiovascular Surgery, Sakakibara Heart Institute

Part I. Introduction.- 1. Anatomy of the Aortic Valve and its Morphological Characteristics.- 2. Pathophysiology and Natural History of Aortic Regurgitation.- 3. Ultrasound Measurement of Aortic Valves.- 4. Computed Tomographic Measurements of Aortic Valves.- 5. Optimizing Aortic Valve Repair Techniques with Computational Models.- 6. Aortoscopy to Evaluate Cusp Configuration after Aortic Valvuloplasty.- 7. Indications and Contraindications for Aortic Valve Repair.- 8. ONE-POINT ADVICE: Significance of Aortic Valvuloplasty in the Valve-in-Valve Era.- 9. Trends in Aortic Valve-sparing Surgery.- Part II. Concepts and Approaches.- 10.  Bicuspid Aortic Valve.- 11.  ONE-POINT ADVICE: Tricuspidization of a Bicuspid Valve.- 12.  Tricuspid Aortic Valve.- 13.  Others – Unicuspid valve and Quadricuspid valve.- 14.  ONE-POINT ADVICE: The Limitations and Potential of MICS during Aortic Valvuloplasty.- 15.  Aortic Valve Reconstruction to Treat Aortic Stenosis Using Autologous Pericardium – Ozaki Procedure.- 16.  ONE-POINT ADVICE: Creating a Morphological Template for Autologous Pericardial Cusps.- 17.  ONE-POINT ADVICE : Experimental Comparison Between the Reimplantation Method and Remodeling Method.- 18.  History, Techniques, and Outcomes of the Reimplantation Method.- 19.  History, Techniques, and Outcomes of the Remodeling Method.- 20.  Variations and Outcomes of Annuloplasty.- 21.  ONE-POINT ADVICE : Other Valve-sparing Aortic Root Replacement Techniques.- 22.  ONE-POINT ADVICE : The Advantages and Disadvantages of Valsalva Grafts.- 23.  Valve Surgery to Treat Connective Tissue Disease – Comparison Between Valve Replacement and Aortic Root Replacement.- 24.  Significance of Aortic Valvuloplasty in the Elderly.- 25.  Valve-sparing Aortic Root Replacement to Treat Acute Type A Aortic Dissection.- 26.  Pediatric Valvuloplasty.- 27.  The Significance of Performing Aortic Valvuloplasty in Young Patients.- Part III. Case Study – What to Do in Each Particular Case?.- 28.  How to Manage Patients with Low Geometric Cusp Height.- 29.  How to Manage a Stenosed Bicuspid Valve.- 30.  How do I Manage a Case with Borderline Dilatation of the Sinus of Valsalva? .- 31.  How do I Manage Perforation and Fenestration? .- 32.  How to Manage Moderate Aortic Regurgitation in the Context of Combined Valvular Disease.- 33.  When is Partial Rremodeling Possible?.- 34.  Aortic Valvuloplasty to Treat Aortic Regurgitation Accompanied by a Ruptured Sinus of Valsalva Aneurysm.- 35.  Valvuloplasty to Treat Aortic Regurgitation Associated with a Ventricular Septal Defect.- 36.  Valvuloplasty for Aortic Regurgitation Associated with Infective Endocarditis.- 37.  Valvuloplasty to Treat Traumatic Aortic Regurgitation.- 38.  How to Manage Aortic Regurgitation from an Allograft.- Part IV. Aortic Valve Repair: Specialists in the World.- 39.  Leaders in Valvuloplasty around the World.- Part V. Closing Remarks.- 40. Cardiologists’ Expectations of Aortic Valvuloplasty.

“The audience is cardiothoracic surgery residents and attending surgeons, as well as cardiologists, although intended more for the surgery professionals. … This is a useful recap of aortic valve repair and is helpful in continuing the discussion of repair techniques for this often-replaced valve.” (Stephen Michael Spindel, Doody's Book Reviews, August 02, 2019)