Aortic root substitution after aortic valve replacement: a prosthesis-sparing operation.
Patients who underwent isolated aortic valve replacement could come to attention for new onset aortic disease or progression of borderline alterations not corrected at the first operation, especially in the subset of bicuspid valve disease. We describe our technique in redo operations for aortic root disease, using only a vascular graft and sparing the previously implanted valve prosthesis. In case of normally functioning mechanical prosthesis, we always left the valve in situ and substituted the aortic root with a Dacron conduit, extending the replacement if necessary to the other diseased portions of the thoracic aorta.
Pacini
Davide
D
Cardiac Surgery, S.Orsola-Malpighi Hospital, via Massarenti 11, Bologna 40138, Italy.
Villa
Emmanuel
E
Martin-Suarez
Sofia
S
Bartolomeo
Roberto Di
RD
D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D012086:Reoperation / Q000379:methods