title: Early results of modified aortic-valve sparing partial root replacement in acute type A aortic dissection with an intimal tear in the aortic sinuses.
abstract: We describe a modified aortic valve-sparing partial root replacement (AVSPRR) technique for acute type A aortic dissection with an intimal tear (IT) in the aortic sinus. This procedure consists of selective replacement of the sinus containing an IT with a rectangular patch. If an IT exists in any coronary sinus, the coronary button was reimplanted to the neo-sinus and an external wrapping of the noncoronary sinus was added. Modified AVSPRR may be considered a feasible short-term outcome, and may be considered as an option in selected patients.
authors: Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
authors: Sung Kwang
authors: SK
authors: Lee
authors: Ho-Ki
authors: HK
authors: Min
authors: Woon
authors: W
authors: Heo
authors: Do Kyun
authors: DK
authors: Kang
authors: Hee Jae
authors: HJ
authors: Jun
authors: Youn-Ho
authors: YH
authors: Hwang
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome