This book provides comprehensive, state-of-the art insights into aortic valvuloplasty. Aortic valve repair is a relatively new procedure. Since first being successfully performed in the 1990s was objectively assessed in the 2000s, this procedure has now become standardized, reproducible, and popular around the globe. Written by experts in surgery and cardiology and richly illustrated, it discusses the aspects of anatomy, pathophysiology, diagnosis and surgical procedure that are essential for successful repair. Contributing to the popularization and development of aortic repair, it is a valuable resource for surgeons, cardiologists, cardio-anesthetists and paramedical staff interested in the field and will be good resource for popularizing and developing aortic valve repair.
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.