Remodeling of aortic root by annular reconstruction and plication of sinuses of Valsalva.
We describe a successful new surgical technique for aortic root aneurysm, combined aortic valve repair by annular stabilization and externally reinforced reduction aortoplasty. The aortic valve annulus is defined in size at the level of the basal ring using a prosthetic ring made of the collar of a Gelweave Valsalva vascular graft. Dilated sinuses of Valsalva are plicated from outside the aorta. The aortic root is wrapped with the Valsalva vascular graft, the distal aortic root is sutured to the vascular graft, and the aortic annulus is thus stabilized at the sinotubular junction.
Hetzer
Roland
R
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany. hetzer@dhzb.de
Komoda
Satsuki
S
Komoda
Takeshi
T
D000328:Adult; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000637:transplantation; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D012850:Sinus of Valsalva / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome