{"id":2770,"date":"2022-10-20T00:02:53","date_gmt":"2022-10-20T00:02:53","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=2770"},"modified":"2023-09-27T13:13:24","modified_gmt":"2023-09-27T13:13:24","slug":"bicuspid-aortic-valve-valve-sparing-root-replacement","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/bicuspid-aortic-valve-valve-sparing-root-replacement\/","title":{"rendered":"Bicuspid Aortic Valve &#038; Valve-Sparing Root Replacement: Top 8 Facts"},"content":{"rendered":"<p>Advanced surgical techniques are providing heart valve patients enhanced quality-of-life with more durable outcomes.<\/p>\n<p>For example, young patients diagnosed with severe bicuspid aortic valve disease and aortic root aneurysms previously had limited treatment options that required complete replacement of the aortic valve and the aneurysm.\u00a0 Today, however, surgeons are using aortic valve reconstruction techniques to &#8220;spare&#8221; the patient&#8217;s native aortic valve tissue with the important goal of preserving natural valve functions without re-operations.<\/p>\n<p>To learn about Valve-Sparing Root Replacement Procedures for bicuspid aortic valve patients, we interviewed <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Eric-Roselli-Cleveland-Ohio.php\">Dr. Eric Roselli, the Adult Chief of Cardiac Surgery at the Cleveland Clinic<\/a>. Having performed over 5,000 cardiac procedures, Dr. Roselli specializes in bicuspid aortic valve and aortic aneurysm surgery.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/k7KgttCXw2o\" width=\"650\" height=\"366\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Bicuspid Aortic Valve-Sparing Root Replacement<\/h2>\n<p>Here are important insights from Dr. Roselli about the advanced treatment of bicuspid aortic valves and aneurysms:<\/p>\n<ul>\n<li>Bicuspid aortic valve disease is prevalent and has a close relationship with aortic aneurysms. &#8220;About 2% of people have a bicuspid aortic valve,&#8221; states Dr. Roselli. &#8220;Between 30% and 50% of bicuspid aortic valve patients have what we call &#8216;aortopathy&#8217; or a disease of the aorta that makes it prone to become an aneurysm or get enlarged.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/bicuspid-aortic-valve-comparison.jpg\" alt=\"Bicsupid Aortic Valve\" width=\"600\" height=\"269\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>If required, bicuspid aortic valves and aortic aneurysms can be safely treated during a single operation.<\/li>\n<li>Developing a treatment plan should be unique for each patient given the nature and variability of each disease and the desired long-term outcome. &#8220;We actually have to tailor it based on the details of the disease that we see,&#8221; states Dr. Roselli. &#8220;In other words, one or the other, the aorta or the valve, can be the thing that brings you to the operating room. We have to have a long-term view of each of those.&#8221;<\/li>\n<li>Heart valve replacement devices &#8211; tissue valves and mechanical valves &#8211; are good but have limitations.<\/li>\n<li>Dr. Roselli is adamant that, if possible, the patient&#8217;s own tissue should be &#8220;spared&#8221; to achieve the optimal result. &#8220;If we could save a living valve, that valve can handle the wear and tear of opening and closing a hundred thousand times better than the others, as long as it&#8217;s not started down a pathway of degeneration,&#8221; states Dr. Roselli.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2774 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/aortic-root-anatomy-eric-roselli-md.jpg\" alt=\"Aortic Root Anatomy\" width=\"650\" height=\"365\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Valve-Sparing Root Replacement is a very complex procedure given all of the anatomical and hemodynamic (blood flow) considerations of a bicuspid aortic valve within the aortic root. &#8220;The valve is not just these moving parts like it is in a manmade valve where you got something on a hinge. The valve&#8217;s function is dependent upon all of those structures, the opening to the heart, the annulus, the sinuses of the root from which the valve is suspended. All those things need to all be aligned and come together in this really beautiful harmony for the valve to work well. If parts of that are abnormal, like the aneurysm, and yet parts of them are good, we can spare the good parts and reconstruct the bad parts,&#8221; states Dr. Roselli.<\/li>\n<li>The surgical outcomes for Valve-Sparing Root Replacement procedures have been excellent. Dr. Roselli states, &#8220;We do about 125 valve-sparing root replacement operations a year. About a quarter of those are in patients with bicuspid aortic valves. It&#8217;s at least several times a month. Our outcomes have been excellent.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/Images\/Cleveland-Clinic-Valve-Sparing-Aortic-Root-Replacement-Volume.jpg\" alt=\"Valve Sparing Reimplantation Procedures at Cleveland Clinic\" width=\"700\" height=\"393\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Dr. Roselli leverages a &#8220;shared-decision making&#8221; approach with his patients and his medical team to identify and select the safest and most durable therapy available to the patient.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks to Dr. Roselli and Cleveland Clinic<\/h2>\n<p>On behalf of our patient community, many thanks to Dr. Roselli for sharing his clinical experiences and research with us. We also want to thank the entire Cleveland Clinic team for taking such great care of patients with heart valve disease.<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Eric-Roselli-Cleveland-Ohio.php\">See Dr. Eric Roselli&#8217;s Interactive Surgeon Profile<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/shared-decision-making-dr-eric-roselli\/\">Dr. Roselli&#8217;s Patient Success Story: Ari Mintzer<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aneurysm-modified-david-procedure.php\">Heart Surgery Innovations: Bicuspid Aortic Valve &amp; Aortic Aneurysms with Dr. Eric Roselli<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/cleveland-clinic-microsite\">Explore the Cleveland Clinic Heart Valve Microsite<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. I have provided a written transcript of this video interview below for the the deaf and hard of hearing members of our community.<\/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":[9],"class_list":["post-2770","page","type-page","status-publish","hentry","category-bicuspid-aortic-valve"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2770","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=2770"}],"version-history":[{"count":10,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2770\/revisions"}],"predecessor-version":[{"id":3121,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2770\/revisions\/3121"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=2770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=2770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}