title: The role of multimodality imaging in the selection of patients for aortic valve repair.
abstract: Aortic valve sparing surgery for aortic regurgitation and/or aortopathy serves as an alternative to aortic valve and root replacement. One of the advantages of aortic valve sparing surgery over conventional replacement is that there is no need for life-long anticoagulation, which is particularly attractive in young patients who may receive a mechanical prosthesis otherwise. However, successful aortic valve repair requires high expertise. At present, reparability is determined intraoperatively by direct surgical inspection. Preoperative imaging techniques might improve the patient selection for aortic valve repair. The mechanism of aortic regurgitation, aortic valve morphology and calcification and aortic root dimensions are all of importance when aortic valve repair is considered. The present review focuses on the role of imaging techniques in determining aortic valve reparability.
authors.affiliation: a Department of Cardiology, Heart and Lung Center , Leiden University Medical Center , Leiden , The Netherlands.
authors.forename: Madelien V
authors.initials: MV
authors.lastname: Regeer
authors.affiliation: b Cardio-Thoracic Surgery, Heart and Lung Center , Leiden University Medical Center , Leiden , The Netherlands.
authors.forename: Michel I M
authors.initials: MI
authors.lastname: Versteegh
authors.affiliation: a Department of Cardiology, Heart and Lung Center , Leiden University Medical Center , Leiden , The Netherlands.
authors.forename: Nina Ajmone
authors.initials: NA
authors.lastname: Marsan
authors.affiliation: a Department of Cardiology, Heart and Lung Center , Leiden University Medical Center , Leiden , The Netherlands.
authors.forename: Jeroen J
authors.initials: JJ
authors.lastname: Bax
authors.affiliation: a Department of Cardiology, Heart and Lung Center , Leiden University Medical Center , Leiden , The Netherlands.
authors.forename: Victoria
authors.initials: V
authors.lastname: Delgado
mesh_terms: D001021:Aortic Valve / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D057791:Cardiac Imaging Techniques / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D064847:Multimodal Imaging / Q000379:methods*; D018579:Patient Selection; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods
keywords: 3-dimensional echocardiography; aortic regurgitation; aortic root aneurysm; aortic valve repair; cardiac magnetic resonance; multi-detector row computed tomography