EACTS @ STS Delves Into Combined Aortic Valve Repair and Root Reconstruction

The nuances of various aortic valve repair procedures to treat tricuspid and bicuspid aortic valve diseases will take center stage at EACTS @ STS from 1:00 p.m. to 3:00 p.m. Tuesday in Room 126ABC.

Joseph E. Bavaria, MD

“This session is about aortic valve repair and valve regurgitation together. It’s more complicated, more sophisticated, and more focused than either of the two alone,” said STS First Vice President Joseph E. Bavaria, MD, Roberts-Measey Professor of Surgery, Vice Chair of Cardiovascular Surgery, and Director of the Thoracic Aortic Surgery Program at the University of Pennsylvania in Philadelphia.

Dr. Bavaria is co-moderator of the joint STS/European Association for Cardio-Thoracic Surgery session, along with Ruggero de Paulis, MD, Director of Cardiac Surgery at European Hospital and Associate Professor at Roma Tor Vergata University in Rome.

They called on international speakers to bring their perspectives to this emerging area of interest for cardiothoracic surgeons.

“Within the last 5 to 6 years, some of the concepts have coalesced. It is not ‘settled law’—to use Chief Justice Roberts’ words—but we’re trying to get to the point where we can use data to help figure out the best approach to an operation. That is why we’ll explore our options,” Dr. Bavaria said.

In the first of three invited talks, Dr. de Paulis will offer step-by-step methods for surgical reimplantation of a three-cusp aortic valve. The second talk, with Munir H. Boodhwani, MD, Ottawa, Canada, will provide an analysis of annulus and cusp management in valve-sparing root replacement in bicuspid valves. The third, with Himanshu J. Patel, MD, Ann Arbor, Mich., will highlight techniques and results for reimplantation for a type A dissection.

The program also will include four abstract presentations on suture annuloplasty, aortic insufficiency outcomes after elective root replacement, the long-term durability of cusp repair after a type A dissection with bicuspid and tricuspid aortic valve repairs, and the impact of preoperative aortic regurgitation on valve durability of aortic valve repair after type A valve-sparing aortic root replacement.

The session will conclude with a panel discussion.