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,

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Presentation transcript:

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, MD, Thomas M. Beaver, MD, Tomas D. Martin, MD The Annals of Thoracic Surgery Volume 80, Issue 2, Pages 748-750 (August 2005) DOI: 10.1016/j.athoracsur.2004.02.092 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Multiple 2–0 braided polyester sutures are placed in a horizontal mattress fashion several millimeters below the aortic annulus and driven outside the aorta in preparation for placement and positioning of the graft. The Annals of Thoracic Surgery 2005 80, 748-750DOI: (10.1016/j.athoracsur.2004.02.092) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Completed sleeve reconstruction with a button of graft excised for each coronary artery, creating what we have termed a coronary keyhole, before resuspension of the native valve and sinotubular junction. The Annals of Thoracic Surgery 2005 80, 748-750DOI: (10.1016/j.athoracsur.2004.02.092) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The sinotubular junction and the top of the Dacron are sutured together by using a running suture of 4–0 polypropylene, which resuspends the native valve and reconstructs the sinotubular junction. This view depicts the right coronary artery exiting the Dacron sleeve. The Annals of Thoracic Surgery 2005 80, 748-750DOI: (10.1016/j.athoracsur.2004.02.092) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Preoperative (A) and postoperative (B) transesophageal echocardiography images showing sleeve reconstruction with correction of aortic insufficiency and narrowed annulus and sinotubular junction. The Annals of Thoracic Surgery 2005 80, 748-750DOI: (10.1016/j.athoracsur.2004.02.092) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions