Quality & Outcomes: Aortic Valve Procedures
Aortic Valve-Sparing Root Procedures
Penn cardiovascular surgeons continue to treat patients previously contraindicated for valve-sparing aortic root replacement procedures, including older and high-risk patients with previous aortic dissections, and patients with bicuspid aortic valve procedures and Marfan syndrome. Since 2004, Penn surgeons have successfully performed 82 David-V re-implantations.
Aortic Root Procedures FY 2006 - FY 2010, N = 1173
| FY 2006 | FY 2007 | FY 2008 | FY 2009 | FY 2010 | |
|---|---|---|---|---|---|
| Mechanical Composite Root | 43 | 44 | 46 | 39 | 31 |
| BioRoot composite | 62 | 64 | 70 | 52 | 77 |
| ValveSparing Root Procedures | 43 | 55 | 41 | 38 | 32 |
| AVR and Ascending Aorta | 23 | 32 | 46 | 43 | 60 |
| AV Resuspension | 33 | 49 | 47 | 40 | 63 |
Isolated Bicuspid Aortic Valve Repair
Today, patients who have a bicuspid aortic valve (BAV) with insufficiency have a greater opportunity for native valve repair. Joseph E. Bavaria, MD, employs advanced reconstructive techniques to spare these valves. Following the mitral valve paradigm of the past 15 years, it is now possible to repair virtually any purely regurgitant bicuspid aortic valve.
Aortic Root Procedures
In addition to valve-sparing root procedures, Penn is actively investigating bioprosthetic and composite graft mechanical valve conduits for treatment of aortic root pathology. These methods permit aortic root replacement in a variety of settings, including acute dissection and endocarditis. The traditional Wheat procedure continues to be performed at Penn, as well. Penn has experienced no deaths in valve-sparing reimplementation procedures to date.
Penn Heart & Vascular 2011 Clinical Activity Report
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