Michael P Vallely, MBBS, Clifford F Hughes, AO, Paul G Bannon, PhD, P

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Presentation transcript:

Composite graft replacement of the aortic root after previous cardiac surgery: a 20-year experience Michael P Vallely, MBBS, Clifford F Hughes, AO, Paul G Bannon, PhD, P.Nicholas Hendel, Bruce G French, Matthew S Bayfield The Annals of Thoracic Surgery Volume 70, Issue 3, Pages 851-855 (September 2000) DOI: 10.1016/S0003-4975(00)01509-5

Fig 1 Interlocking 2-0 Ticron Teflon-pledgeted sutures are placed from outside the aortic annulus to the sewing ring of the valved conduit and the graft “parachuted” into position. The Annals of Thoracic Surgery 2000 70, 851-855DOI: (10.1016/S0003-4975(00)01509-5)

Fig 2 After trimming, the distal aorta is reinforced with a Teflon felt “sandwich” inside and outside the wall and the distal anastomosis performed with 3-0 Prolene. The Annals of Thoracic Surgery 2000 70, 851-855DOI: (10.1016/S0003-4975(00)01509-5)

Fig 3 Completed aortic root replacement. Note the interlocking Teflon pledgets outside the aortic annulus, the distal anastomosis with the Teflon felt sandwich, and the coronary ostia anastomosis to the side of the graft. The Annals of Thoracic Surgery 2000 70, 851-855DOI: (10.1016/S0003-4975(00)01509-5)