Aortic Valve Repair in Congenital Heart Disease

Adults or other patients groups with congenital heart disease can present with aortic insufficiency. This is most likely due to annular dilation but can also be related to other factors like dysmorphic leaflets, leaflet prolapse, effacement of sinotubular junction etc. The HAART ring is a reliable technique to treat annular dilation and is demonstrated here. Leaflet calcification can be reduced with the use of Cavitron Ultrasonic Surgical Aspirator (CUSA). Leaflet prolapse may occur primarily or after annular reduction and plication of the leaflet free edge can improve functional height and improve apposition. We demonstrate our techniques of repair of aortic valve in congenital heart disease. Both our patients had previous history of complex congenital heart conditions with multiple surgeries. Both demonstrated significant improvement in aortic insufficiency without any significant gradient across that aortic valve and this has remained stable at 6 months followup.

Reference

Surgical correction of aortic regurgitation using a HAART 300 rigid aortic ring: A novel method to standardize aortic valve repair. Radoslaw G et al. Cardiol J. 2019;26(6):799-801