Presentation is loading. Please wait.

Presentation is loading. Please wait.

Aortic Valve Reconstruction With Leaflet Replacement and Sinotubular Junction Fixation: Early and Midterm Results  Meong Gun Song, MD, Hyun Suk Yang,

Published byTeguh Chandra Modified over 6 years ago

Similar presentations

Presentation on theme: "Aortic Valve Reconstruction With Leaflet Replacement and Sinotubular Junction Fixation: Early and Midterm Results  Meong Gun Song, MD, Hyun Suk Yang,"— Presentation transcript:

1 Aortic Valve Reconstruction With Leaflet Replacement and Sinotubular Junction Fixation: Early and Midterm Results  Meong Gun Song, MD, Hyun Suk Yang, MD, Jong Bum Choi, MD, Yong In Kim, MD, Je Kyoun Shin, MD, Hyun Keun Chee, MD, Jun Seok Kim, MD, Dong Hyup Lee, MD  The Annals of Thoracic Surgery  Volume 97, Issue 4, Pages (April 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) A 26-mm template, designed for tailoring bovine pericardium to form a 26-mm aortic pericardial leaflet. The length of the upper margin of the pericardial leaflet patch is the same as the diameter of the sinotubular junction, and the height of the patch is 70% of the diameter of the sinotubular junction. The template is larger than the real pericardial leaflet, because extra suture space (2.0 mm) is added to it. (B) The central 2/3 of the suture margin of the pericardial leaflet is plicated in a 1.5:1 ratio, and the lateral 1/3 of the pericardial leaflet is evenly sutured to the annulus. (ILT = interleaflet triangle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig. 2 The sinotubular junction is fixed or reduced with inner and outer rings using 18 interrupted 4-0 polypropylene mattress sutures, and then the commissural coaptation suture (the last one) is made. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Estimated freedom from redo aortic valve surgery of patients undergoing aortic valve reconstruction surgery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier analysis curve showing event-free survival of patients undergoing aortic valve reconstruction surgery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 In a short-axis view of the aortic valve (two-dimensional imaging [A, C] and color Doppler [B, D]), the competent valve closure at diastole (A, B) and the full valve opening at systole (C, D) of three reconstructed pericardial leaflets are demonstrated. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Box-whisker plots for the comparison of mean preoperative left ventricular mass index (before surgery) versus mean postoperative left ventricular mass index (last follow-up). The left ventricular mass index, an expression of left ventricular hypertrophy, showed 19.6% regression on echocardiography during the follow-up period of 23.7 ± 16.4 months. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Aortic Valve Reconstruction With Leaflet Replacement and Sinotubular Junction Fixation: Early and Midterm Results  Meong Gun Song, MD, Hyun Suk Yang,"

Similar presentations

Surgical Indications and Results of Mitral Valve Repair in Pediatric Patients With Ventricular Septal Defects Accompanied by Mitral Valve Regurgitation 

Surgical Indications and Results of Mitral Valve Repair in Pediatric Patients With Ventricular Septal Defects Accompanied by Mitral Valve Regurgitation 
Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.

Survival Benefit of Aortic Valve Replacement in Patients With Severe Aortic Stenosis With Low Ejection Fraction And Low Gradient With Normal Ejection.
Wenrui Ma, MD, Wei Zhang, MD, Wei Shi, MD, Ye Kong, MD, Xinyu Ma, MS 

Wenrui Ma, MD, Wei Zhang, MD, Wei Shi, MD, Ye Kong, MD, Xinyu Ma, MS 
Preoperative Serum Fibrinogen Level Predicts Postoperative Pulmonary Complications After Lung Cancer Resection  Suk-Won Song, MD, Hyun-Sung Lee, MD, Moon.

Preoperative Serum Fibrinogen Level Predicts Postoperative Pulmonary Complications After Lung Cancer Resection  Suk-Won Song, MD, Hyun-Sung Lee, MD, Moon.
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,

Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Andras C. Kollar, MD, PhD, Scott D. Lick, MD, Vincent R. Conti, MD 

Andras C. Kollar, MD, PhD, Scott D. Lick, MD, Vincent R. Conti, MD 
Serial Changes of Hemodynamic Performance With Medtronic Hall Valve in Aortic Position  Yang Hyun Cho, MD, Dong Seop Jeong, MD, PhD, Pyo Won Park, MD,

Serial Changes of Hemodynamic Performance With Medtronic Hall Valve in Aortic Position  Yang Hyun Cho, MD, Dong Seop Jeong, MD, PhD, Pyo Won Park, MD,
Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.
Impact of the Improvement of Valve Area Achieved With Aortic Valve Replacement on the Regression of Left Ventricular Hypertrophy in Patients With Pure.

Impact of the Improvement of Valve Area Achieved With Aortic Valve Replacement on the Regression of Left Ventricular Hypertrophy in Patients With Pure.
George Gogoladze, MD, Sophia L

George Gogoladze, MD, Sophia L
Complete Aortic Valve Cusp Replacement in the Pediatric Population Using Tissue- Engineered Bovine Pericardium  Domenico Mazzitelli, MD, Christian Nöbauer,

Complete Aortic Valve Cusp Replacement in the Pediatric Population Using Tissue- Engineered Bovine Pericardium  Domenico Mazzitelli, MD, Christian Nöbauer,
Hybrid Approach for Aneurysm of Patent Ductus Arteriosus in an Adult

Hybrid Approach for Aneurysm of Patent Ductus Arteriosus in an Adult
Left Atrial Appendage Resection Versus Preservation During the Surgical Ablation of Atrial Fibrillation  Chee-Hoon Lee, MD, Joon Bum Kim, MD, PhD, Sung-Ho.

Left Atrial Appendage Resection Versus Preservation During the Surgical Ablation of Atrial Fibrillation  Chee-Hoon Lee, MD, Joon Bum Kim, MD, PhD, Sung-Ho.
Aortic Valve Replacement With Carpentier-Edwards: Hemodynamic Outcomes for the 19-mm Valve  Ji Hoon You, MD, PhD, Dong Seop Jeong, MD, PhD, Kiick Sung,

Aortic Valve Replacement With Carpentier-Edwards: Hemodynamic Outcomes for the 19-mm Valve  Ji Hoon You, MD, PhD, Dong Seop Jeong, MD, PhD, Kiick Sung,
Fate of Functional Mitral Regurgitation and Predictors of Persistent Mitral Regurgitation After Isolated Aortic Valve Replacement  Hyun-Chel Joo, MD,

Fate of Functional Mitral Regurgitation and Predictors of Persistent Mitral Regurgitation After Isolated Aortic Valve Replacement  Hyun-Chel Joo, MD,
Association of Thoracic Aorta Calcium Score With Left Ventricular Hypertrophy and Clinical Outcomes in Patients With Severe Aortic Stenosis After Aortic.

Association of Thoracic Aorta Calcium Score With Left Ventricular Hypertrophy and Clinical Outcomes in Patients With Severe Aortic Stenosis After Aortic.
Positron Emission Tomography-Computed Tomography for Postoperative Surveillance in Non-Small Cell Lung Cancer  Se Hoon Choi, MD, Young Tae Kim, MD, PhD,

Positron Emission Tomography-Computed Tomography for Postoperative Surveillance in Non-Small Cell Lung Cancer  Se Hoon Choi, MD, Young Tae Kim, MD, PhD,
Outcomes in Aortic and Mitral Valve Replacement With Intervalvular Fibrous Body Reconstruction  Alberto Forteza, MD, PhD, Jorge Centeno, MD, Victor Ospina,

Outcomes in Aortic and Mitral Valve Replacement With Intervalvular Fibrous Body Reconstruction  Alberto Forteza, MD, PhD, Jorge Centeno, MD, Victor Ospina,
Long-Term Outcomes of the Mosaic Bioprosthesis

Long-Term Outcomes of the Mosaic Bioprosthesis
Postoperative Recurrence of Mitral Regurgitation After Annuloplasty for Functional Mitral Regurgitation  Lawrence S. Lee, MD, Michael H. Kwon, MD, Marisa.

Postoperative Recurrence of Mitral Regurgitation After Annuloplasty for Functional Mitral Regurgitation  Lawrence S. Lee, MD, Michael H. Kwon, MD, Marisa.

Similar presentations

Ads by Google