(en) Aortic valve (AV) repair is now recognized as a good alternative to prosthetic valve replacement in selected patients suffering from aortic insufficiency (AI) or proximal aorta aneurysm. Several pioneering cohorts have achieved long- or very long-term outcomes, up to 20 years, with excellent stability of the repair [1–3]. Moreover, active ongoing research has led to several significant improvements in the surgical techniques, like better repair stabilization using circumferential annuloplasty and systematic assessment of valve configuration using the effective height concept. As they have accumulated experience, the main schools have standardized their approaches and techniques to enhance the reproducibility and dissemination of AV repair. [...]
Lansac, E., & de Kerchove, L. (2018). Aortic valve repair techniques: state of the art. European Journal of Cardio-Thoracic Surgery, 53(6), 1101-1107. https://doi.org/10.1093/ejcts/ezy176 (Original work published 2018)