Transecting the aorta to close the aortic prosthetic valve paravalvular space.
The residual aortic prosthetic valve paravalvular space beneath the left coronary artery is very difficult and risky to repair. To improve visualization of this area, we transected the ascending aorta and mobilized both the aortic root and the left coronary artery from the surrounding tissue. Subsequently, we retracted the left coronary artery aside and pulled the posterior aortic root upwards. This maneuver has provided enough space for the safe placement of stitches and the closure of the paraprosthetic defect in this very delicate area.
Stojanovic
Ivan C
IC
Department of Cardiac Surgery, Institute for Cardiovascular Disease DEDINJE," Belgrade, Serbia. stojivan@eunet.yu
Milacic
Petar A
PA
Jagodic
Sinisa P
SP
Jovovic
Ljiljana I
LI
Gojnic
Miroslava G
MG
Djukanovic
Bosko P
BP
D001013:Aorta, Thoracic / Q000601:surgery*; D001021:Aortic Valve / Q000382:microbiology / Q000601:surgery; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology / Q000601:surgery; D017755:Prosthesis Fitting / Q000379:methods; D018570:Risk Assessment; D013536:Suture Techniques; D016896:Treatment Outcome