جراحة الصمام الأبهري - the German Medical Journal

Aortic Valve Surgery
vitia, can generally only be
treated by a replacement of the
defected valve. Moreover, as
far as the need for re-operation
is concerned, long-term results
after an isolated, direct reparattion
of the semilunar valve are
definitely worse than results
after a prosthetic valve replacemment.
The development of new
techniques for the reconstructtion
of the aortic root according
to Yacoub and David, however,
can be considered an important
treatment option for patients
showing largely intact semillunar
valves and dilated aortic
annulus and/or an aneurysm
of the ascending aorta. The
first long-term results confirm
very good operation results
and show complication rates
and durability data comparable
to various valve prostheses.
Especially for younger pattients
these procedures are an
important alternative to a valve
replacement by mechanical
prostheses (life-long anticoagullation
treatment) and bio-prosttheses
(reduced durability for
patients