Gender-based analysis of patient outcomes and safety of surgical aortic valve replacement

December 15, 2023

Andreas Zierer

Prof. Günter Laufer

Dr. Forcillo

Aortic Highlights course, 2023

Dr. Vitanova

Aortic Highlights course, 2023

Dr. Winkler

Aortic Highlights course, 2023

Prof. Von Bardeleben

Aortic Highlights Course, 2023

Prof. Sabine Bleiziffer

MVT Aortic course 2022, vol.2

Live Case filmed at Hezrklinik Hirslanden, with:

Prof. Augusto D’Onofrio

MVT Aortic 2022, vol.2

– What’s less invasive than minimally-invasive surgery? Micro-invasive.

– The initial pros and cons of each approach are clear, but what about the outcomes?

– Don’t forget to implement Enhanced Recovery After cardiac Surgery (ERAS) protocols.

Prof. Michael Borger

MVT Aortic 2022, vol.2

Prof. Marjan Jahangiri

MVT Aortic 2022, Vol.2

– Plan well, plan ahead, and keep the patient’s best interests in mind.

– Be sure you keep detailed notes during the first SAVR procedure.

– To avoid coronary artery obstruction, it may be worth avoiding SAVR valves where the leaflets are externally wrapped around the struts.

Alexey Dashkevich

MVT Aortic 2022, Vol.2

– Is the patient 50-65 years old? Be sure to think about re-intervention, keep the guidelines in mind, and fully inform the patient.

– Which type of anticoagulation therapy should be used?

– Don’t forget, a Ross procedure may be an option.

Prof. Marjan Jahangiri

MVT Aortic 2022, vol.2

– How do we decide between a Ross procedure or a modified Ross procedure? Who are the candidates, and what is their anatomy like?

– Perhaps most interesting, hear what she has to say about how and why we should be cautious when interpreting long-term results, even from large studies and meta-analyses.

– Advantages, disadvantages, complications, autograft failure predictors, and more!

Dr. Patrick Klein

MVT Aortic 2022, vol.2

– Listen to what he has to say about total aortic root replacement.

– How can we assess the durability and avoid adverse valve-related events when using mechanical and biological valves?

– Hear about his personal experience using new-generation biological valves in patients 57 ± 7 years old.

Prof. Sabine Bleiziffer

MVT Aortic 2022, vol.1

– A comprehensive lecture about the indications, technical aspects, and results of the rare but challenging procedure of TAVI explantation

– When looking at long-term data, acknowledge the high mortality rates and think about which era the original valves were implanted (technology and overall know-how)

– Be sure to totally familiarize yourself with the technology, implantation method, material, and design of the originally implanted valve

Prof. Ruggero De Paulis

MVT Aortic 2022, vol.1

– Many surgical options, very comprehensive, and very unbiased

– A redo-SAVR is not as simple as just “redoing” the procedure: beware of higher risk and more complex procedures

– Very clear 7-step removal process of the original valve prosthesis

-Pros and cons of different pledgets, suture techniques, valve positioning, valve sizing, and more

Prof. Ruggero De Paulis

MVT Aortic 2022, vol.1

– First and foremost, not all bicuspid aortic valves are the same

– Many post-operative measurements and goals are included within to help guide you to optimal patient outcomes

– Check out the insight provided about valve-sparing, valve repair, external annuloplasty, and more

Prof. Bart Meuris

MVT Aortic 2022, vol.1

-Cosmesis vs clinical benefit? Cross-clamp times? Extra costs? Have you thought about these aspects before?

-What about less pain? Less blood loss? Shorter ICU stays? Lower rates of atrial fibrillation? Remember, there are always pros and cons.

-If combined procedures are necessary, minimally invasive can be a choice in experienced centers

Prof. Marco Di Eusanio

MVT Aortic 2022, vol.1

Prof. D’Onofrio – EACTS 2021