(en) Being a technically gifted surgeon is not enough to make you a good aortic valve repair surgeon. An additional requirement is the long-term evaluation of the treatment and comparison of your results to other surgeons. The AVIATOR registry, outlined below, enables surgeons to evaluate their results and fulfill this requirement. Over the past two decades, aortic valve repair has evolved as a treatment strategy in patients with aortic regurgitation (AR) with or without aortic dilatation. The first attempts go back to the early sixties and two important surgical procedures—remodeling and reimplantation—appeared in the late 1980s and early 1990s, which gave rise to new tools for the treatment of complex disorders of the aortic valve and root (1). In the current era, considerable variety in repair techniques exist: reimplantation with straight or sinus tube grafts, remodeling techniques with or without additional annuloplasty with a suture or ring, usage of various patch materials, different commissural orientations after bicuspid aortic valve repair and the use of systematic measurement tools of effective height.
de Heer, F., Lansac, E., El-Hamamsy, I., Pibarot, P., de Kerchove, L., El Khoury, G., Schäfers, H.-J., Takkenberg, J. J. M., & Kluin, J. (2019). The AVIATOR registry: the importance of evaluating long-term patient outcomes. Annals of Cardiothoracic Surgery, 8(3), 393-395. https://doi.org/10.21037/acs.2019.04.08 (Original work published 2019)