title: First beating-heart valve-sparing aortic root repair: a "corset" technique.
abstract: We present our preliminary experience with beating-heart aortic root remodeling using an external "corset," which we performed in 2 patients with aortic insufficiency and aortic root dilatation. Standard extracorporeal circulation (ECC) was used. After a meticulous dissection of the aortic root and ascending aorta, the bespoke vascular prosthesis was placed around the vessel to decrease its diameter and restore aortic valve function. Postoperative angiographic computed tomography (CT) showed a significant decrease in the diameter of the wrapped aorta. Echocardiography performed 12 months after the operation showed normal aortic valve function with trivial regurgitation and stable aortic diameter in both patients.
authors.affiliation: Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland. Electronic address: tomaszplonek@gmail.com.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Plonek
authors.affiliation: Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Dumanski
authors.affiliation: Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Obremska
authors.affiliation: Department of Cardiac Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kustrzycki
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D015150:Echocardiography, Doppler; D005112:Extracorporeal Circulation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012494:Sampling Studies; D056346:Sternotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome