Aortic valve exposure through a combined right atrial-ascending aortic approach in redo cases Antonio M Calafiore, MD, Gabriele Di Giammarco, MD, Giuseppe.

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Presentation transcript:

Aortic valve exposure through a combined right atrial-ascending aortic approach in redo cases Antonio M Calafiore, MD, Gabriele Di Giammarco, MD, Giuseppe Vitolla, MD The Annals of Thoracic Surgery Volume 73, Issue 1, Pages 318-319 (January 2002) DOI: 10.1016/S0003-4975(01)03314-8

Fig 1 Case 1: Sagittal view of the ascending aorta and the right atrium. These structures are stuck to each other by means of the biological glue. (Ao = aorta; Bg = biological glue; RA = right atrium.) The Annals of Thoracic Surgery 2002 73, 318-319DOI: (10.1016/S0003-4975(01)03314-8)

Fig 2 Case 1: The right atrium is opened first, then the superior portion of the ascending aorta. The incision is then directed toward the noncoronary sinus, cutting together the right atrium and the lateral part of the proximal ascending aorta. The Annals of Thoracic Surgery 2002 73, 318-319DOI: (10.1016/S0003-4975(01)03314-8)

Fig 3 Case 2: The incision was made as previously described. A stitch was passed through the right atrium to the aortic annulus to correct a leakage in the noncoronary cusp (arrowhead). The Annals of Thoracic Surgery 2002 73, 318-319DOI: (10.1016/S0003-4975(01)03314-8)