title: "T-shaped" repair for commissural detachment in acute type A aortic dissection.
abstract: Aortic insufficiency in patients with type A aortic dissection is commonly seen and, in most cases, is the consequence of commissural detachment. We report our method of aortic valve repair in which the valve commissure and detached intima are repaired by using a "T-shaped" polyester patch that fits well within the aortic root after removal of the clots in the proximal false lumen. The early results have proved this is an easy and effective way to repair valve commissural detachment and reconstruct the aortic root.
authors.affiliation: Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, and Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
authors.forename: Song-Bo
authors.initials: SB
authors.lastname: Dong
authors.forename: Jun
authors.initials: J
authors.lastname: Zheng
authors.forename: Wei-Guo
authors.initials: WG
authors.lastname: Ma
authors.forename: Jun-Ming
authors.initials: JM
authors.lastname: Zhu
authors.forename: Yong-Min
authors.initials: YM
authors.lastname: Liu
authors.forename: Li-Zhong
authors.initials: LZ
authors.lastname: Sun
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001027:Aortography / Q000379:methods; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000379:methods; D002815:Chordae Tendineae / Q000601:surgery*; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D011091:Polyesters; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology; D020127:Recovery of Function; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D015996:Survival Rate; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
chemical_list: D011091:Polyesters