Simple Modification of “T

Slides:

Advertisements

Similar presentations

Aortic Valve Replacement With Patch Enlargement of the Aortic Annulus

Advertisements

Early and Medium Term Results of the Sleeve Valve-Sparing Procedure for Aortic Root Ectasia Amando Gamba, MD, Giordano Tasca, MD, Floriana Giannico,

Joseph W. Turek, MD, PhD, Robert A. Hanfland, MD, Tina L

The Completion Bentall Procedure

Serkan Burç Deşer, MD, Mustafa Kemal Demirağ, MD

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Andras C. Kollar, MD, PhD, Scott D. Lick, MD, Vincent R. Conti, MD

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Farkas B. Vánky, MD, PhD, Erik.

Transaortic Valve-in-Valve Implantation After Previous Aortic Root Homograft Leo Ihlberg, MD, PhD, Antero Sahlman, MD, Juha Sinisalo, MD, Janne Rapola,

Failure of internal thoracic artery grafts: conclusions from coronary angiography mid- term follow-up Eric Bezon, MD, Jean N Choplain, MD, Yasser A Maguid,

Heart Failure Due to Severe Supravalvular Aortic Stenosis in Painless Type A Aortic Dissection Hiroaki Sakamoto, MD, PhD, Yasunori Watanabe, MD, PhD,

Basal cusp enlargement for repair of aortic valve insufficiency

Chun Wang, MD, Zongyi Xiu, MD, Tianxiang Gu, MD

Valved stentless composite graft: clinical outcomes and hemodynamic characteristics Paul P Urbanski, MD, Anno Diegeler, MD, Alexander Siebel, MD, Michael.

Suresh Keshavamurthy, MD, Stephanie L

Patrick H McNulty, MD, Ian C Gilchrist, MD

Methods for graft size selection in aortic valve-sparing operations

John S. Ikonomidis, MD, PhD, FRCS(C), Abe DeAnda, MD, D

New graft formulation and modification of the David reimplantation technique Thomas G. Gleason, MD The Journal of Thoracic and Cardiovascular Surgery

New Technique of Aortic Root Reconstruction With Aortic Valve Annuloplasty in Ascending Aortic Aneurysm Akhtar Rama, MD, Sylvain Rubin, MD, Nicolas Bonnet,

Intimal Intussusception in Aortic Dissection and Coexisting Coronary Artery Disease H. Tarık Kızıltan, MD, Münir Tıraş, MD, Aslı İdem, MD, Rahime Çamsarı,

Ganesh S. Kumpati, MD, Robert Gray, MD, Amit Patel, MD, David A

G. Chad Hughes, MD, Madhav Swaminathan, MD, Walter G. Wolfe, MD

Aortic root replacement with anomalous origin of the coronary arteries

“Peninsula-Style” Transverse Aortic Arch Replacement in Patients With Bicuspid Aortic Valve Akinobu Itoh, MD, Michael Fischbein, MD, PhD, Koji Arata,

Replacement of the Ascending Aorta, Aortic Root, and Valve with a Novel Stentless Valved Conduit Kelvin K.W. Lau, MRCS, DPhil, Krystyna Bochenek-Klimczyk,

Which Patients Benefit From Stentless Aortic Valve Replacement?

Valve-sparing root repair: V-shaped remodeling can be performed in all sinuses Paul P. Urbanski, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Rupture of a Left Sinus of Valsalva Aneurysm With Coronary Compression: A Rare Cause of Ischemic Chest Pain Florim Cuculi, MD, Michele Rossi, MD, Kevin.

Leo Lopez, MD, Laura Mercer-Rosa, MD, Evan M. Zahn, MD, Nolan R

Outcome After the Modified Bentall Technique With a Long Interposed Graft to the Left Coronary Artery Atsushi Nakahira, MD, Toshihiko Shibata, MD, PhD,

Novel Technique of Valve-Sparing Aortic Root Replacement in Two Children Younger Than 3 Years of Age James K. Kirklin, MD, Walter H. Johnson, MD, Barton.

Coronary Button Pseudoaneurysms After Aortic Root Replacement in a Child With Loeys-Deitz Syndrome Charles D. Fraser, MD, Xun Zhou, MD, Rui Han Liu,

Aortoplasty for Management of the Dilated Distal Ascending Aorta During Proximal Aortic Reconstruction Emmanuel A. Amulraj, MD, William D.T. Kent, MD,

Neonatal Repair of Persistent Fifth Aortic Arch Coarctation and Interrupted Fourth Aortic Arch Enrico Cetrano, MD, Angelo Polito, MD, MPH, Matteo Trezzi,

Sanford M. Zeigler, MD, William Hiesinger, MD

Abdelsalam M. Elhenawy, MD, PhD, Christopher M

Five-year experience in aortic root replacement with the flanged composite graft Kaan Kırali, MD, Denyan Mansuroğlu, MD, Suat Nail Ömeroğlu, MD, Vedat.

Reoperative innominate arterial, ascending aortic, and root replacement for extensive fungal endocarditis Bradley G. Leshnower, MD, Thomas G. Gleason,

A Novel Approach for Emergency Repair of Intraoperative Type A Aortic Dissection Through a Left Thoracotomy Yuji Kawano, MD, Minoru Tabata, MD, MPH,

Freddy Vermeulen, MD, Ben Swinkels, MD, Wim Jan van Boven, MD

The aortic valve–sparing operation

Aortic Root Aneurysms: Remodeling or Composite Replacement?

D.Craig Miller, MD The Journal of Thoracic and Cardiovascular Surgery

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Charles T. Klodell, MD, Philip J. Hess, MD, Thomas M

Bashi V. Velayudhan, MS, MCh, A. Mohammed Idhrees, MS, MCh

Coronary artery narrowing after aortic root reconstruction with resorcin-formalin glue Luigi Martinelli, MD, Angelo Graffigna, MD, Mauro Guarnerio, MD,

Congenital Absence of One Pulmonary Valve Cusp With Other Hypoplastic Cusps Sachiko Yamazaki, MD, Masaaki Yamagishi, MD, PhD, Kouichi Nishida, MD, Satoshi.

Initial experience with sutureless proximal anastomoses performed with a mechanical connector leading to clampless off-pump coronary artery bypass surgery

Early and Medium Term Results of the Sleeve Valve-Sparing Procedure for Aortic Root Ectasia Amando Gamba, MD, Giordano Tasca, MD, Floriana Giannico,

David J. Kaczorowski, MD, Y. Joseph Woo, MD

Paul Urbanski, MD, PhD The Annals of Thoracic Surgery

Three-graft technique for ascending aorta and total aortic arch replacement Gen-ya Yaginuma, MD, Yoshiyuki Iijima, MD, Kazuo Abe, MD, Yoshiyuki Okada,

Invited Commentary The Annals of Thoracic Surgery

Aortic Root Replacement: Results Using the St

The Florida Sleeve: A New Technique for Aortic Root Remodeling With Preservation of the Aortic Valve and Sinuses Philip J. Hess, MD, Charles T. Klodell,

Sanjiv K Gandhi, MD, Ralph D Siewers, MD, Frank A Pigula, MD

Postoperative Cognitive Dysfunction and Aortic Atheroma

Farirai F. Takawira, FCPaed(SA), Jayneel A. Joshi, FCPaed(SA), Dirk J

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Echo-free perfused spaces: A current postoperative finding after homograft replacement of the aortic valve T. Carrel, MD, M. Pasic, MD, E. Oechslin,

Michael H. Hines, MD, Neal D. Kon, MD The Annals of Thoracic Surgery

The Annals of Thoracic Surgery

Shih-Rong Hsieh, MD, Chien-Chang Chen, MD, Hao-Ji Wei, MD

Aortic Valve Sparing Root Replacement With Unroofing and Reconstruction of an Anomalous Right Coronary Artery Giorgio Zanotti, MD, Rajan Gupta, MD, Thomas.

Valve-sparing procedure for dilatation of the autologous pulmonary artery and ascending aorta after the Ross operation Paolo Masetti, MD, Victor A Davila-Roman,

How I Teach Hemi-Arch Replacement

Resolution of Heart Block After Surgical Correction of Failed Transcatheter Aortic Valve Implantation Alexander Weymann, MD, Nikhil Prakash Patil, MRCS,

Masakazu Aoki, MD, Toshiaki Ito, MD, PhD

Presentation transcript:

Simple Modification of “T Simple Modification of “T. David-V” Valve-Sparing Aortic Root Replacement to Create Graft Pseudosinuses Philippe Demers, MD, D.Craig Miller, MD The Annals of Thoracic Surgery Volume 78, Issue 4, Pages 1479-1481 (October 2004) DOI: 10.1016/j.athoracsur.2003.08.032

Fig 1 Intraoperative picture illustrating a completed valve-sparing aortic root replacement with the modified Tirone David-V technique with a 34-mm graft used proximally (black arrow) and a 24-mm graft distally (white arrow). Note the large proximal graft surrounding the valve and how well the smaller distal graft conforms to the small (normal-sized) distal ascending aorta. The right coronary artery button is visible in the right graft pseudosinus (white arrowhead). The Annals of Thoracic Surgery 2004 78, 1479-1481DOI: (10.1016/j.athoracsur.2003.08.032)

Fig 2 Postoperative transthoracic echocardiogram (parasternal long-axis view in early diastole) demonstrating bulging graft pseudosinuses (arrowheads) in the reconstructed aortic root, a normal aortic annular diameter, well-coapting aortic valve cusps, and abrupt graft narrowing at the anastomosis between the proximal and distal grafts, representing the neosinotubular junction (arrows). The Annals of Thoracic Surgery 2004 78, 1479-1481DOI: (10.1016/j.athoracsur.2003.08.032)