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Cusp height in aortic valves

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TLDR
The cusp height was larger than previously published and shows marked variability and correlates with the clinical variables, which might serve as the basis for decision making in aortic valve repair.
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This article is published in The Journal of Thoracic and Cardiovascular Surgery.The article was published on 2013-08-01 and is currently open access. It has received 165 citations till now. The article focuses on the topics: Cusp (anatomy) & Bicuspid aortic valve.

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Citations
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Journal ArticleDOI

A quarter of a century of experience with aortic valve-sparing operations.

TL;DR: Aortic valve-sparing operations continue to provide excellent clinical outcomes, although a slow but progressive deterioration of aortic valves function seems to occur during the first 2 decades of follow-up.
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Remodeling root repair with an external aortic ring annuloplasty

TL;DR: The standardization of remodeling root repair with calibrated expansible aortic ring annuloplasty and cusp effective height assessment improves valve repair outcomes.
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Variability of repairable bicuspid aortic valve phenotypes: towards an anatomical and repair-oriented classification

TL;DR: The anatomical characteristics of the different phenotypes of BAV follow a continuous spectrum that extends from symmetrical to very asymmetrical BAV, and a new repair-oriented classification system is proposed based on those parameters that can be used to predict valve repair techniques.
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Suture Annuloplasty Significantly Improves the Durability of Bicuspid Aortic Valve Repair.

TL;DR: Annular dilatation is a risk factor for failure after repair of regurgitant BAV and its elimination through the use of SA significantly improves repair stability, and with PTFE as material for SA optimal repair stability and minimal local complications are achieved.
References
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Journal ArticleDOI

Congenitally bicuspid aortic valves: a surgical pathology study of 542 cases (1991 through 1996) and a literature review of 2,715 additional cases.

TL;DR: Functionally, the most common fate of congenitally bicuspid aortic valves was calcific stenosis with or without regurgitation, and because valve replacement is currently the only treatment of symptomatic AS, this disorder will continue to affect health-care costs.
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Aortic root and valve relationships: Impact on surgical repair

TL;DR: This work morphologically examined normal human aortic roots and valve leaflets and applied mathematic analyses to the results, showing that the root has a consistent shape with varying size and that there is a definable mathematic relationship between root diameter and clinically measurable leaflet dimensions.
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Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes

TL;DR: Aortic valve repair is an acceptable therapeutic option for patients with aortic insufficiency and can help to predict the surgical techniques required as well as the durability of repair.
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A new approach to the assessment of aortic cusp geometry

TL;DR: Early diagnosis along with aggressive and extensive surgical treatment in patients with PA leiomyosarcoma without any extrathoracic metastases may provide an opportunity for prolonged survival in addition to palliation.
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Mechanisms of recurrent aortic regurgitation after aortic valve repair: predictive value of intraoperative transesophageal echocardiography.

TL;DR: The results demonstrate that intraoperative transesophageal echocardiography can be used to identify patients undergoing AR repair who are at increased risk for late repair failure.
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