Penn Heart and Vascular

Aortic Valve Procedures at the Heart Valve Disease Program

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
  • 2010
  • 2008
  • 2007
  • 2006

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 Clinical Activity Reports

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