Early Results of Valve-Sparing Reimplantation Procedure Using the Valsalva Conduit: A Multicenter Study Davide Pacini, MD, Fabrizio Settepani, MD, Ruggero.

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Early Results of Valve-Sparing Reimplantation Procedure Using the Valsalva Conduit: A Multicenter Study Davide Pacini, MD, Fabrizio Settepani, MD, Ruggero De Paulis, MD, Antonino Loforte, MD, Saverio Nardella, MD, Diego Ornaghi, MD, Roberto Gallotti, MD, Luigi Chiariello, MD, Roberto Di Bartolomeo, MD The Annals of Thoracic Surgery Volume 82, Issue 3, Pages 865-872 (September 2006) DOI: 10.1016/j.athoracsur.2006.04.018 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Techniques description: adjustment of the Valsalva graft to the patient’s valve remnants to obtain the correct placement of the commissures at the level of the prosthesis sinotubular junction. See text for details. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Overall actuarial survival for all patients. Survival was 93.5% at 1 year and 91.2% at 5 years. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Actuarial freedom from late aortic valve replacement. Freedom from late aortic valve replacement was 95.7% at 1 year and 90.8% at 5 years. (B) Actuarial freedom from combined residual grade 3-4 aortic regurgitation and aortic valve replacement. Freedom from combined residual grade 3-4 aortic regurgitation and aortic valve replacement was 94.7% at 1 year and 88.7% at 5 years. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Postoperative echocardiographic aspect of the aortic root in a patient after a reimplantation procedure with the Valsalva graft. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postoperative magnetic resonance image of a Marfan syndrome patient 3 years after aortic reimplantation procedure with the Valsalva graft. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Postoperative multislice computed tomography scan reconstruction of the entire aorta after a reimplantation procedure with the Valsalva graft: the left and the noncoronary sinuses are clearly detectable. The Annals of Thoracic Surgery 2006 82, 865-872DOI: (10.1016/j.athoracsur.2006.04.018) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions