Course 11: Aortic Valve Leaflet Reconstruction

Course Directors:  Gebrine El-Khoury, Brussels, Belgium, and J. Scott Rankin, Nashville, TN 

COMMERCIAL RELATIONSHIPS  J.S. Rankin− Consultant/Advisory Board, BioStable Science and Engineering, Admedus

Leaflet reconstruction is very important for aortic valve repair: 80% of aortic valves with moderate-to-severe insufficiency have leaflet defects requiring reconstruction. Additionally, most patients with aortic stenosis, rheumatic disease, and endocarditis have irreparable leaflets. Reparable leaflet defects include leaflet prolapse, nodular retraction, holes, commissural ruptures, and extensive lateral fenestrations. Current techniques for leaflet reconstruction are evolving, but include central plication for prolapse, nodular release, pericardial patches and strips for holes and ruptures, and complete pericardial leaflet replacement for irreparable leaflets. In this course, each of these methods will be illustrated and practiced on porcine hearts.

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Assess leaflet pathology to select proper reconstructive techniques
  • Perform aortic valve leaflet plication
  • Demonstrate how to suture pericardial strips and patches into leaflets
  • Perform complete pericardial leaflet replacement

Please watch the video below containing background information and lecture materials associated with this course.

Please note: No CME credit is associated with the viewing of web-based content. This presentation was created for The Society of Thoracic Surgeons STS University courses, and STS retains sole rights to these materials.