title: Half-leaflet suspension with a thin Gore-Tex suture for aortic leaflet prolapse.
abstract: The treatment of aortic root dilatation accompanied by a leaking valve requires a multimodal approach involving root reimplantation or remodeling with tailoring of the sinotubular junction or valvular apparatus, or both. We report a patient with annuloaortic ectasia with a leaking valve that was successfully treated by performing aortic valve repair and root reimplantation. The operation was performed by placing a thin Gore-Tex CV7 suture (W. L. Gore and Assoc, Flagstaff, AZ) halfway along the prolapsed right coronary leaflet to suspend the leaflet. By using this surgical technique, we easily repaired the prolapsed leaflet by meticulously adjusting the length of the edge of the diseased leaflet.
authors.affiliation: Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan. ts12295@kchnet.or.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimamoto
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Komiya
authors.forename: Genichi
authors.initials: G
authors.lastname: Sakaguchi
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001023:Aortic Valve Prolapse / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures
chemical_list: D011138:Polytetrafluoroethylene