"Peninsula-style" transverse aortic arch replacement in patients with bicuspid aortic valve.
Although the optimal surgical treatment of the dilated aortic arch is controversial in patients with a bicuspid aortic valve, such exists in more than 70% of bicuspid aortic valve patients. Aortic wall histologic abnormalities are present from the aortic root to the distal arch regardless of aortic size. We describe a simple "peninsula-style" technique of transverse arch replacement used in conjunction with valve-sparing aortic root replacement for patients with a bicuspid aortic valve. This provides resection of the entire dilated thoracic aorta, preserving the arch branches in continuity with the proximal descending aorta.
Itoh
Akinobu
A
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California 94305-5407, USA.
Fischbein
Michael
M
Arata
Koji
K
Miller
David Craig
DC
D000328:Adult; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged