Key result
Aortic valve reconstructive surgery was initially ignored in favor of valve replacement due to technical difficulties and the apparent simplicity of replacement procedures.
Aortic valve repair was historically overshadowed by valve replacement due to early technical challenges and the perceived simplicity of prostheses.
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Historical bias toward replacement may inform renewed repair interest; leaves open modern outcome comparisons.
Aortic valve repair, one of the first procedures performed in the history of heart surgery, was somewhat ignored compared with valvar replacement by artificial prostheses, which became very popular in the sixties. Difficulties related to myocardial protection, in association with the relative paucity of intra-and postoperative technical resources then available well as the apparent simplicity of valve replacement procedures were responsible for this initial indifference towards aortic valve reconstructive surgery.
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Ribeiro et al. (2000) conducted a review in Aortic valve disease. Aortic valve reconstructive surgery vs. Valve replacement by artificial prostheses was evaluated. Aortic valve reconstructive surgery was initially ignored in favor of valve replacement due to technical difficulties and the apparent simplicity of replacement procedures.
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