Reoperative aortic valve replacement; recent update
Saito, S.; Yamazaki, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 66(8 Suppl): 625-630
2013
ISSN/ISBN: 0021-5252 PMID: 23917175 Document Number: 669392
Historically, redo cardiac surgery for aortic valve replacement (AVR) is technically challenging and carries a high incidence of peri-operative complications. However, experience in the field continues to evolve generating reproducible, and increasingly safer results. Recent low initial operative mortalitysuggests that surgery is safe and reproducible. However, older age and multiple co-morbidities in this patient population may significantly influence late outcomes. The published data support open surgical technique as a safe, reliable approach for redo AVR. Minimum invasive approach for redo AVR and transcatheter aortic valve implantation (TAVI) technology are evolving rapidly and promises an exciting future. Careful observation for these new alternative options for redo AVR is mandatory and paramount.