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A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery  Alessandro Leone, MD, Piergiorgio Bruno, MD, Federico Cammertoni,

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Presentation on theme: "A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery  Alessandro Leone, MD, Piergiorgio Bruno, MD, Federico Cammertoni,"— Presentation transcript:

1 A Simple Device for Morphofunctional Evaluation During Aortic Valve-Sparing Surgery 
Alessandro Leone, MD, Piergiorgio Bruno, MD, Federico Cammertoni, MD, Massimo Massetti, MD  The Annals of Thoracic Surgery  Volume 100, Issue 1, Pages (July 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 In step 1, we created a 2.4-mm (7F) hole in the bottom of the container using the cautery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 In step 2, we inserted the central venous catheter common line into the hole and cut it at a distance of 2 mm from the bottom of the container to allow removal of air during the hydrostatic test. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 In step 3, we fixed the central venous catheter to the container using synthetic surgical glue. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The complete tester, ready to be used.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Before reimplanting the coronary ostia, the tester is inserted in the prosthetic ascending aorta with the bottom end down, and the graft is clenched around the tester with a silk suture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 The three lumens allow introduction of water for the hydrostatic test, air-removing maneuvers, and pressure measurements. The transparent container allows direct visualization of the aortic valve. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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