title: Replacing the diseased aortic valve and the proximal aorta in the elderly patient.
abstract: Subcoronary implantation of the Medtronic stentless bioprosthesis and an extension using a vascular tube prosthesis provide a safer alternative to the more invasive conventional composite graft replacement or a full root replacement using a homograft or a stentless valve. The advantage lies in eliminating the need for coronary mobilisation and anastomosis which actually lead to the increased risk in those procedures.
authors.affiliation: Department of Cardiac Surgery, Schuechtermann Klinik, 49214 Bad Rothenfelde, Germany. ajohn@schuechtermann-klinik.de
authors.forename: Alexander
authors.initials: A
authors.lastname: John
authors.forename: Basel
authors.initials: B
authors.lastname: Al-Hariri
authors.forename: Juergen
authors.initials: J
authors.lastname: Ackemann
authors.forename: Henning
authors.initials: H
authors.lastname: Warnecke
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome