Abstract
Aortic valve replacement (AVR) has been the default procedure for the surgical management of aortic valve disease, with repair techniques heterogeneously and infrequently used. However, surgical aortic valve repair has evolved with improved techniques. Yet many questions remain regarding the ideal techniques and real-world applicability and effectiveness of valve repair. The AORTA Great Debate highlighted and discussed the controversies regarding the surgical management of aortic valve disease.
Highlights
Type and timing of surgical intervention for significant aortic valve disease continue to be controversial and debated
We have chosen the topic of aortic valve repair and framed it around the question “Can the results of aortic valve repair equal the results of a biologic aortic valve replacement?”
We have systematically looked at the published literature on aortic valve repair and conducted a meta-analysis from that
Summary
Type and timing of surgical intervention for significant aortic valve disease continue to be controversial and debated. Through this Debate program, we would like to take a thirty thousand foot view of certain issues in our specialty and have experts like we have today assembled to discuss these different issues For this morning, we have chosen the topic of aortic valve repair and framed it around the question “Can the results of aortic valve repair equal the results of a biologic aortic valve replacement?”. We have systematically looked at the published literature on aortic valve repair and conducted a meta-analysis from that Because this will be a brief presentation, I will point out to you the reoperation rates according to etiology, based on bicuspid aortic valve (BAV), cusp prolapse, and aortic root aneurysm.
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