Novel technique of valve-sparing aortic root replacement in two children younger than 3 years of age.
A novel technique of valve-sparing aortic root replacement was applied to 2 children younger than 3 years of age with Marfan syndrome and large aortic root aneurysms. Using elements of both the remodeling and reimplantation techniques, circumferential rings from a 20-mm to 22-mm polyester graft provide stabilization at the subannular and sinotubular levels, and bovine pericardial patches create pseudosinuses. Follow-up at 2 years in 1 patient and 7 months in a second patient revealed satisfactory valve function with stable aortic root size.
Department of Surgery, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA. jkirklin@uab.edu
James K
JK
Kirklin
Walter H
WH
Johnson
Barton B
BB
Cook
Mark A
MA
Law
William S
WS
McMahon
Robb L
RL
Romp
Edward V
EV
Colvin
D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008382:Marfan Syndrome / Q000601:surgery*