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Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function in Marfan Syndrome Patients  Seyed Hossein Aalaei-Andabili, MD, Tomas Martin, MD,

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Presentation on theme: "Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function in Marfan Syndrome Patients  Seyed Hossein Aalaei-Andabili, MD, Tomas Martin, MD,"— Presentation transcript:

1 Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function in Marfan Syndrome Patients 
Seyed Hossein Aalaei-Andabili, MD, Tomas Martin, MD, Philip Hess, MD, Charles Klodell, MD, Ashkan Karimi, MD, George Arnaoutakis, MD, Teng Lee, MD, Thomas Beaver, MD, MPH  The Annals of Thoracic Surgery  Volume 104, Issue 3, Pages (September 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The four subannular anchoring sutures are placed in the same horizontal plane, 2 to 3 mm below the lowest point of the center of the leaflets; three are in line with the commissures, and a fourth is placed under the noncoronary cusp. The left coronary artery keyhole is cut after the sleeve is temporarily seated. The slits in the graft below the coronary keyholes are repaired after the sleeve is seated. (Reproduced from The Annals of Thoracic Surgery, 87;4, Hess, Philip J. et al., Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms, p , 2009, with permission from The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The running horizontal mattress suture both suspends the aorta and orients the posts of the commissures. Redundant aortic wall at the sinotubular junction should be imbricated with small pleats using multiple, closely spaced bites of the running anastomotic suture. (Reproduced from The Annals of Thoracic Surgery, 87;4, Hess, Philip J. et al., Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms, p , 2009, with permission from The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Finished repair. (Reproduced from The Annals of Thoracic Surgery, 87;4, Hess, Philip J. et al., Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms, p , 2009, with permission from The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Survival and freedom from reoperation rates in Marfan syndrome patients after the Florida sleeve procedure. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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