title: Dacron Skirt Reconstruction of the Left Ventricular Outflow Tract: Extending the Capabilities of a Valved Conduit.
abstract: Aortic root reconstruction in the setting of redo aortic valve procedures or infective endocarditis may be technically challenging, particularly because of variable destruction or distortion of the left ventricular outflow tract. Homograft aortic root replacement is an excellent option for aortic root abscesses but is limited by homograft availability. We describe a simple technique of a bioprosthetic valved conduit constructed on the table using a Dacron (DuPont, Wilmington, DE) skirt below the valve. The use of the Dacron skirt facilitates easy reconstruction of the left ventricular outflow tract.
authors.affiliation: Cardiothoracic Surgery, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon. Electronic address: jairaman2462@gmail.com.
authors.forename: Jai
authors.initials: J
authors.lastname: Raman
authors.affiliation: National University of Singapore, Singapore.
authors.forename: David T M
authors.initials: DT
authors.lastname: Lai
authors.affiliation: Rush University Medical Center, Chicago, Illinois.
authors.forename: Nikola
authors.initials: N
authors.lastname: Dobrilovic
authors.affiliation: George Washington University Medical Center, Washington DC.
authors.forename: Salim
authors.initials: S
authors.lastname: Aziz
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*
chemical_list: D011093:Polyethylene Terephthalates