6533b850fe1ef96bd12a8484
RESEARCH PRODUCT
Aortic valve-sparing root replacement from inside the aorta using three Dacron skirts preserving the native Valsalva sinuses geometry and stabilizing the annulus.
Giovanni RuvoloKhalil Fattouchsubject
Pulmonary and Respiratory MedicineAortic valveAortic root aneurysm; Valve-sparing surgery; Easy procedurePolyestersAortic root aneurysmAortic DiseasesProsthesis DesignBlood Vessel Prosthesis ImplantationEasy proceduremedicine.arteryMedicineHumanscardiovascular diseasesCardiac skeletonSurgical ReplantationAortaCardiopulmonary BypassSuturesbusiness.industryPolyethylene TerephthalatesSettore MED/23 - Chirurgia CardiacaAnatomySinus of ValsalvaAortic AneurysmBlood Vessel ProsthesisValve-sparing surgeryParanasal sinusesmedicine.anatomical_structureTreatment OutcomeAortic Valvecardiovascular systemSurgeryCardiology and Cardiovascular MedicinebusinessTomography X-Ray Computedcirculatory and respiratory physiologyDilatation Pathologicdescription
We present an alternative idea for valve-sparing technique combining the advantages of the reimplantation and the benefits of the remodeling techniques. We replace the sinuses of Valsalva using three Dacron skirts from inside of the aorta. The physiological anatomy of the Valsalva sinuses and their dynamic properties are preserved and the aortic commissures displacement avoided. The distal rim of each Dacron skirt was anchored to the aorto-ventricular junction using Ticron (2-0) U stitches placed from the ventricular side to the aortic side. We stabilize the base of the aortic annulus to prevent future dilation.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2009-01-01 | Interactive cardiovascular and thoracic surgery |