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- W4383313416 abstract "In the 1980s, Carpentier and Cosgrove, reported the first series of aortic valve repair using Cabrol commissural annulopastia for annular reduction and leaflet wedge resection for prolapse correction. Later T. David and J. Schaefers describes valve-sparing techniques in aortic root surgery for aneurysms. The advantages of valve repair are multiple and also affect survival compared to prostheses. Studies with CT scan of the aortic root and in patients undergoing successful bicuspid valve repair using sub-commissural annuloplasty and Schaefers’ leaflet reconstruction, shown an elliptical configuration of the aortic ring. This has led to the development of a rigid internal ring for the aortic valve with the knowledge obtained with the principles of mitral valve repair. This manuscript describes the bases of the development, principles, implantation technique and current experience of the so-called “internal remodeling rings” for aortic valve repair. En los años 80, Carpentier y Cosgrove reportaron las primeras series de reparación valvular aórtica usando la anuloplastia comisural de Cabrol y la resección en cuña de velos para corregir la dilatación anular y los prolapsos. Posteriormente, T. David y J. Schaefers describen las técnicas de preservación valvular en la cirugía de la raíz aórtica en caso de aneurismas. Las ventajas de la reparación valvular son múltiples y afectan tambien la supervivencia en comparativa con las prótesis. Estudios con angio-TAC de la raíz aórtica y en pacientes intervenidos con la anuloplastia subcomisural de Schaefers muestran una configuración elíptica del anillo aórtico. Esto ha llevado a desarrollar un anillo interno rígido para corregir la dilatación del anillo aórtico, con el aprendizaje obtenido con los principios de remodelado en la reparación de la válvula mitral. En el presente manuscrito se describen las bases del desarrollo, los principios, la técnica de implantación y la experiencia actual de los denominados «anillos de remodelado interno» para la reparación valvular aórtica." @default.
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- W4383313416 date "2023-07-01" @default.
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- W4383313416 title "Aortic valve repair using geometric ring annuloplasty" @default.
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- W4383313416 doi "https://doi.org/10.1016/j.circv.2023.05.003" @default.
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