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Recorded live on 18 October 2018 A practical approach to aortic valve repair Professional Challenge Moderator(s) : R. De Paulis, Rome, R. Sádaba, Pamplona Objectives: To understand the indications for aortic valve repair in patients with aortic regurgitation To select the appropriate surgical treatment and technique in these patients To discuss pitfalls and complications of these techniques and how to deal with them 14:15 – Guidelines: are they clear on indications and timing – J. Sjogren, Lund 14:30 – Echocardiography: how to give accurate indications to the surgeon – M. Van Dyck, Woluwe-Saint-Lambert 14:45 – Standard surgical steps to repair an aortic valve – live-in-a-box – M. Boodhwani, Ottawa 15:05 – Standard surgical steps to repair a bicuspid valve – live-in-a-box – J. Vojacek, Hradec Kralove 15:30 – Aortic valve leaflet reconstruction using autologous pericardium guided by virtual reality image evaluation of the aortic root – T. Tedoriya, Ageo, K. Kamiya, Ageo, Y. Gatate, Ageo, T. Miyauchi, Ageo, M. Fukuzumi, Ageo, Y. Yasushi, Kawagoe 15:45 – BREAK 16:00 – When not to repair and what to do when the repair fails – live-in-a-box – J. Bavaria, Philadelphia 16:15 – Unexpected complications in valve sparing – L. De Kerchove, Woluwe-Saint-Lambert 16:30 – A critical appraisal of the need for annuloplasty – H.J. Schäfers, Homburg/Saar 16:35 – What do we want to achieve to optimize the long-term results of a valve sparing procedure – L. Girardi, New York 16:40 – Whats the role for TAVI – D. Holzhey, Leipzig 16:55 – Small cusp size is a limitation for aortic valve repair? – T. Komiya, Kurashiki, S. Takeshi, Kurashiki, M. Nonaka, Kurashiki-shi, T. Matsuo, Kurashiki-shi 17:10 – Comparison of root hemodynamics and configuration after valve preserving root replacement in a pulsatile flow moc loop – M. Seki, Mibu-machi, T. Kunihara, Tokyo, K. Iwasaki, Tokyo, K. Sasaki, Tokyo, H. Seki, Yamato, H. Fukuda, MIbu-machi