Valve Sparing Aortic Root Replacement: Surgeon Roundtable with Dr. Roselli and Dr. Koprivanac

[@chanhnguyen3455]

I had this operation a year and a half ago I am 39. The root ruptured and I was able to make it to the ER in time. Surgeon was able to keep the valve and replace the root. Thank for all the information.

[@HeartValveSurgery]

Thanks for sharing! We are so happy to hear that your valve-sparing aortic root replacement was a success! Congrats!

[@paulpeters9165]

Fantastic video thanks. I'm Atlanta based and 4.7 root anx and under CT surveillance. Searching internet now for centers doing the most valve sparing and hard to stratify. Clev is #1 in TAVR and surprisingly Piedmont Atlanta is #2 per Definitive HC. I search CPT code 33863 and still see Clev followed by Mayo, Mt Sinai. Emory only 10 total - I'm glad I watched this vid. Thx again

[@HeartValveSurgery]

Great to hear you enjoyed this video which addresses the advantages of valve-sparing aortic root replacement and other therapies!

[@kchilz32]

I will be needing surgery soon and need a great valve sparing root replacement surgeon

[@HeartValveSurgery]

Hi KChilz, Just posted a link for you on another comment all about valve-sparing and the David procedure. Here it is - www.heart-valve-surgery.com/search.php?q=valve-sparing. Hope that helps! Also, here is are links to learn more about the Cleveland Clinic surgeons in this video: Dr. Eric Roselli - www.heart-valve-surgery.com/surgeons/dr-Eric-Roselli-Cleveland-Ohio.php Dr. Marijan Koprivanac - www.heart-valve-surgery.com/surgeons/dr-Marijan-Koprivanac-Cleveland-Ohio.php

[@kchilz32]

Thanks

[@HeartValveSurgery]

@@kchilz32 Our pleasure! 😀

[@TimPazier]

Guidelines for ARR go from 5.0 to 5.5 cm. Seems like if one is at 5 cm in order to not overly stress the leaflets, it would be wise to not wait until the root reaches 5.5?

[@bgrant1974]

wandering this for myself. Exact same measurements...wait or go at 5? Don't want to damage the valve

[@HeartValveSurgery]

Hi Tim, Really interesting question regarding aortic aneurysm repair/replacement. We would encourage you to discuss this with your medical team. If you have already done that, what did you learn?

[@natalieriley8249]

My son had an asd repair at 12 and it was a large defect. He had to have open heart surgery. He had his yearly follow up this week. His aortic root has been dilated since the surgery but this year it has grown. He is at 4.4 now. He was 3.9. The doctor wants an MRI and said he doesn’t like to go a dilation of 4.6

[@HeartValveSurgery]

Good idea to get this checked out by a medical team. What did you learn?

[@SnowWhitehead]

My son is having this procedure at OHSU next week

[@SeattleMartin]

Thanks to everyone for posting this, and other, excellent videos about aortic surgeries. I am a 66yo WM, and I live in Seattle. I have a 5.0cm root aneurysm with AR/w eccentric jet (according to the MyChart notes). I suspect I´m going to need surgery at some point, and I´m wondering to myself if it might ge a good idea to go out of state to have it done, as I´m not sure my cardiologist is the right person to do it. (Nothing personal!) Does CC ever have patients from the West Coast?

[@HeartValveSurgery]

Hi, The Cleveland Clinic has patients from all around the world. To learn more about traveling to Cleveland Clinic, please visit my.clevelandclinic.org/patients/travel. Hope that helps!

[@E_UNI_21]

My root is 4.2cm and I'm 28 years of age.

[@SeattleMartin]

@@E_UNI_21 I sure hope it stabilizes, and grows very slowly! Take care!

[@E_UNI_21]

@SeattleMartin I am having aortic valve sparring root replacement surgery in seattle with Dr. Burke at the University of Washington Seattle , April 30th.

[@SeattleMartin]

@@E_UNI_21 Hope all goes well. Did you have any aortic regurgitation?

[@dominick8445]

Thank you Dr.Roselli and Kopravanac. You mentioned the possibility of this type of surgery with a leaky valve but would a bi-cuspid aortic valve fall under the same category if it is in not stenotic or degenerated?

[@HeartValveSurgery]

Hi Dominick, Great and timely question! We just posted a new educational video about Bicuspid Aortic Valves and Valve Sparing Aortic Root Replacement with Dr. Eric Roselli of the Cleveland Clinic at this link - kzbin.info/www/bejne/oWiumKeqeL2qaNE. We hope this new video helps you!

[@gumbypuga5990]

I’m 55 years old now on 2024 and I had my aortic valve replaced with a mechanical valve on 2008 now I have a root aneurysm of 5cm so do you think that ones I reach 5.5 and get the surgery will the doctor replace my valve again or not? Thanks

[@HeartValveSurgery]

Hi Gumby, You raise a really great question. Unfortunately, as a patient advisory group, we are not trained or capable of providing specific medical advice. That said, we would strongly encourage you to discuss this question with your medical team. If you are not getting information that you are comfortable with then perhaps you should get a second opinion to validate and support next steps in the treatment process. We are sorry that we cannot be of more help to you.

[@kchilz32]

I’m in Massachusetts and want to know if there are any good valve sparing centers here? Thanks

[@HeartValveSurgery]

Great question. Have you tried Brigham and Women's Hospital. There is a doctor by the name of Tommaso Hinna Deanesi that you may want to contact - physiciandirectory.brighamandwomens.org/details/16677/tommaso-hinna_danesi-cardiac_surgery-boston.

[@rahul_9000]

how long is the life of arotic root.please explain.

[@HeartValveSurgery]

Hi Siddharth, We want to make sure that we understand the question. Do you mean how long is the life of the Dacron graft used to replace an aneurysm in the aorta? Thanks!

[@rahul_9000]

Sir, the operation process which is going on in this video, I have also had the same operation, so I want to know how old is the life of such a patient. i am taking blood thinner & BETA blocker and ecospring tablet. i also had mechanical valve.

[@HeartValveSurgery]

@@rahul_9000 Hi, As discussed in the video, the hope and design of the valve-sparing procedure, as discussed by Dr. Roselli and Dr. Koprivanac, is that it could last for the patient's lifetime. However, as you probably already know, there is no certainty that this procedure (or any heart valve procedure) will last "forever". That said, please continue to see your cardiologist regularly to track the condition and functioning of your heart. We hope this helps!

[@rahul_9000]

Sir Very very thanks to you. Your videos guide us a lot, we hope that you will continue to guide us in the same way. Thank you.

[@deepaksinghsisodiya5690]

@@rahul_9000 if u will not contact me then share ur WhatsApp number

[@lifewithjimmy4389]

My aortic root aneurysm is 4cm my cardiologist said I’m ok because I don’t smoke or have diabetes.🤷🏻‍♀️is this bad advice?he said it won’t rupture etc.

[@HeartValveSurgery]

Have you gotten a recent test to see if the aneurysm has grown beyond 4cm?