title: Valve-sparing aortic root replacement in the presence of coronary anomalies.
abstract: Aortic root replacement in the presence of coronary anomalies can be challenging. Because the anomalous coronary often arises close to a commissure, reconstruction with traditional buttons can be technically difficult without compromising either the leaflets or the coronary artery. A method of valve sparing root surgery termed "aortic valve and root restoration," using aortic ring annuloplasty and formal valve repair, and then incorporating the anomalous coronary into the commissural suture line, may offer a simple solution to this problem.
authors.affiliation: Technische Universität München, Deutsches Herzzentrum München, Munich, Germany.
authors.forename: Domenico
authors.initials: D
authors.lastname: Mazzitelli
authors.affiliation: Technische Universität München, Deutsches Herzzentrum München, Munich, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Nöbauer
authors.affiliation: Department of Cardiac Surgery, Vanderbilt University, Nashville, Tennessee. Electronic address: jsrankinmd@cs.com.
authors.forename: J Scott
authors.initials: JS
authors.lastname: Rankin
authors.affiliation: Technische Universität München, Deutsches Herzzentrum München, Munich, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.affiliation: Technische Universität München, Deutsches Herzzentrum München, Munich, Germany.
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Lange
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013536:Suture Techniques