Bench repair of donor aortic valve with minimal access orthotopic heart transplantation.
While the number of people waiting heart transplantation increases, the number of organ donors decreases. This shrinking donor pool has prompted reassessment of donor selection for heart transplantation. Bench repair of a donor aortic valve was performed before minimal access orthotopic heart transplantation. Aortic insufficiency in the structurally normal tricuspid aortic valve was due to annular dilatation and was corrected with subcommissural annular plication. The postoperative period was uneventful. Follow-up at 4.5 years showed good results and no evidence of aortic regurgitation.
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. naviaj@ccf.org
José L
JL
Navia
Fernando A
FA
Atik
Antonino
A
Marullo
Randall C
RC
Starling
Mario
M
Garcia
Pablo Ruda
PR
Vega
Nicholas G
NG
Smedira
Patrick M
PM
McCarthy
D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D046148:Donor Selection; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011300:Preoperative Care; D014019:Tissue Donors