title: [Reoperative aortic valve replacement; recent update].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery ,Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Saito
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamazaki
mesh_terms: D064591:Allografts; D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D006350:Heart Valve Prosthesis; D006801:Humans; D012086:Reoperation