Abstract

Corrective aortic valve surgery, both replacement and repair, has been a significant advancement in modern medical science. These operations have given countless patients with aortic stenosis and aortic regurgitation longer and more productive lives. Starting with the aortic prosthetic valves developed by Harken and Starr and extending to the current era of mechanical, bioprosthetic, and biological valves (including homografts and autografts), aortic valve replacement surgery has evolved considerably and has proven to be efficacious (1,2). In addition, numerous reparative techniques such as commissurotomy, debridement, and prolapse reduction have been developed to, when possible, preserve the native aortic valve.

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