{"id":2728,"date":"2022-10-14T13:47:24","date_gmt":"2022-10-14T13:47:24","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=2728"},"modified":"2023-09-27T13:04:52","modified_gmt":"2023-09-27T13:04:52","slug":"aortic-valve-reconstruction","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/aortic-valve-reconstruction\/","title":{"rendered":"Aortic Valve Reconstruction Surgery: Patient Advantages"},"content":{"rendered":"<p>The trend toward aortic valve reconstruction is gaining momentum.<\/p>\n<p>In the past, aortic valve replacement with a mechanical or tissue valve was typically the only treatment available to patients. Today, patients have multiple options for the treatment of aortic valve stenosis and aortic valve regurgitation via reconstructive techniques that often enable patients to retain their own native tissue.<\/p>\n<p>To better understand the patient benefits of aortic valve reconstruction, we interviewed <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-S.+Chris-Malaisrie-Chicago-Illinois.php\">Dr. Chris Malaisrie<\/a>, Professor of Cardiac Surgery at Northwestern University and the Co-Director of the Bicuspid Aortic Valve Clinic and the Thoracic Aortic Surgery Program at Northwestern Medicine in Chicago, Illinois. In our community, Dr. Malaisrie has successfully treated many patients including Jean Frank, John Pascarella and Tom Tansor.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/zZE1aq7-lQs?rel=0\" width=\"650\" height=\"366\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Aortic Valve Reconstruction<\/h2>\n<p>There were many important points in Dr. Malaisrie&#8217;s discussion for patients to consider:<\/p>\n<ul>\n<li>Aortic valve disease does not always require patients to undergo a traditional aortic valve replacement with a mechanical or tissue (e.g. cow or pig) heart valve.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2736\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/chris-malaisrie-md-nm.jpeg\" alt=\"Dr. Chris Malaisrie\" width=\"214\" height=\"245\" \/><br \/>\n<a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-S.+Chris-Malaisrie-Chicago-Illinois.php\">Dr. Chris Malaisrie<\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Select patients with leaking aortic valves, also called aortic regurgitation and aortic insufficiency, may benefit from an aortic valve repair instead of an aortic valve replacement.<\/li>\n<li>There are several benefits for patients who are able to get an aortic valve repair.\u00a0 Dr. Malaisrie states, &#8220;The benefit of having a repaired valve, it is a natural valve. It&#8217;s a valve that the patient is born with. The valve can be durable, more durable than an animal biologic valve, yet not require Coumadin long-term.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2738 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/aortic-valve-repair-benefits-patient-malaisrie.jpg\" alt=\"Aortic Valve Repair Benefits\" width=\"700\" height=\"390\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Patients with aortic valve prolapse are often candidates for aortic valve repair techniques that may include free margin plication, resection and annuloplasty (a ring to reinforce the annulus). &#8220;When we talk about prolapse, what happens is one of the leaflets doesn&#8217;t shut, but actually falls backwards into the heart,&#8221; states Dr. Malaisrie.\u00a0 &#8220;In this configuration, blood can rush backwards in a severe fashion, causing symptoms.&#8221;<\/li>\n<li>According to Dr. Malaisrie, for patients with repairable aortic valves, an annuloplasty ring reinforces the valve structure and helps prevent future dilation.<\/li>\n<li>An aortic valve may not be repairable due to aortic stenosis in which the valve is narrowed and\/or calcified.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2739 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Ross-Procedure-Surgical-Diagram-Aortic-Valve.jpg\" alt=\"Ross Procedure Surgical Valve\" width=\"700\" height=\"389\" \/>Ross Procedure Diagram<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>If a patient has an aortic valve that is not repairable, a unique form of aortic valve reconstruction known as the <a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure\/\">Ross Procedure<\/a>, may provide patients a unique opportunity to retain their own heart valve tissue in the aortic position. Dr. Malaisrie states, &#8220;We could also replace the aortic valve with the patient&#8217;s own pulmonary valve. Again, this is a natural valve, a valve that a patient is born with. We call this the Ross procedure. The Ross procedure is a technical operation. It is a double-valved procedure. We take the pulmonary valve, put it in the aortic position, and then we pull off of the shelf \u2013 it&#8217;s actually in the freezer \u2013 a human pulmonary valve to replace the patient&#8217;s pulmonary valve. It is a technical procedure, but it has very good benefits as well.&#8221;<\/li>\n<li>As patients with aortic valve disease are also diagnosed with aortic aneurysms, there are aortic valve reconstruction techniques to treat these cardiac disorders while retaining the native tissue in the aortic valve.\u00a0 These advanced techniques are known as &#8220;valve-sparing&#8221; procedures as the patient&#8217;s aortic valve tissue is spared (not removed).\u00a0 Dr. Malaisrie states, &#8220;This operation is super, because sometimes aortic valve is totally normal. All the patient has is an aortic aneurysm, and we don&#8217;t want to throw away the perfectly good aortic valve. We want to do an aortic root replacement that spares aortic valve. That is a great option for patients.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2740 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/valve-sparing-aortic-root-replacement-diagram-malaisrie.jpg\" alt=\"Valve Sparing Aortic Valve Root Replacement\" width=\"700\" height=\"394\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Dr. Malaisrie&#8217;s advice of patients with aortic valve disease is to research all of the options available to you. &#8220;It&#8217;s important to go see a specialist who can offer the full gamut of options for patients with aortic valve disease,&#8221; states Dr. Malaisrie.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Thanks Dr. Malaisrie &amp; Northwestern Medicine!<\/h2>\n<p>On behalf of our patient community, I would like to thank <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-S.+Chris-Malaisrie-Chicago-Illinois.php\">Dr. Chris Malaisrie<\/a> for taking the time to share his clinical experiences and research specific to the patient advantages of aortic valve reconstruction. I would also like to thank the entire <a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/northwestern-memorial-valve-program\">Northwestern Medicine<\/a> team for taking such great care of heart valve patients.<\/p>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"class_list":["post-2728","page","type-page","status-publish","hentry","category-aortic-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2728","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=2728"}],"version-history":[{"count":20,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2728\/revisions"}],"predecessor-version":[{"id":2853,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2728\/revisions\/2853"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=2728"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=2728"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}