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

[@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

[@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

[@SnowWhitehead]

My son is having this procedure at OHSU next week

[@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

[@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!

[@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?

[@kchilz32]

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

[@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.

[@siddharth.jain.2916]

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!

[@siddharth.jain.2916]

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]

@@siddharth.jain.2916 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!

[@siddharth.jain.2916]

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]

@@siddharth.jain.2916 if u will not contact me then share ur WhatsApp number