Abstract
Aortic valve repair and valve sparing procedures enable restoration of competence in regurgitant aortic valve, and thus to avoid the risks related to valve replacement. Successful aortic valve repair requires profound understanding of the static and dynamic geometry of the aortic valve and aortic root.
Aortic regurgitation originates from malposition of the aortic leaflets and frequently is also connected to dilation the aortic root and ascending aorta. Techniques of surgical procedures for aortic regurgitation have been subject of historical development and currently tend to simplification and standardization.
Basic principles stand upon morphological normalization at the level of the basal ring, sinotubular junction and valve leaflets. These procedures are currently supported by European guidelines (class I), even in patients with bicuspid aortic valve.
In comparison with aortic valve replacement, they result in better quality of life. That is why it should be the procedure of choice.
Of great importance is centralization of these procedures in dedicated centers, where a cumulative experience in this surgery has been gained.