Valve-Sparing Aortic Root Replacement

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Presentation transcript:

Valve-Sparing Aortic Root Replacement Duke Cameron Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual Volume 15, Issue 1, Pages 20-23 (January 2012) DOI: 10.1053/j.pcsu.2012.01.005 Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 1 Cannulation for valve-sparing aortic root replacement. (Reprint with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 2 Measurement of sinotubular junction diameter. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 3 Trimming of prosthetic graft. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 4 Placement of subanular sutures and commissural stay sutures. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 5 Lowering of graft around valve complex. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 6 Position of native aortic valve within prosthetic graft. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 7 Suturing of annulus and sinus remnant within graft. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 8 Pitfalls of coronary anastomoses. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 9 Techniques to address leaflet prolapse. A, Midleaflet plication. B, Free edge suspension. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions

Figure 10 Plication of base of graft. (Reprinted with permission.4) Seminars in Thoracic & Cardiovascular Surgery: Pediatric Cardiac Surgery Annual 2012 15, 20-23DOI: (10.1053/j.pcsu.2012.01.005) Copyright © 2012 Elsevier Inc. Terms and Conditions