Aortic Root Replacement of Small Roots to Prepare for Transcatheter Aortic Valve Replacement

被引:5
作者
Clemence, Jeffrey, Jr.
Yang, Bo
机构
[1] Michigan State Univ, Coll Osteopath Med, E Lansing, MI 48824 USA
[2] Michigan Med, Dept Cardiac Surg, Ann Arbor, MI USA
关键词
D O I
10.1016/j.athoracsur.2021.12.023
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Small aortic root is a significant limitation of optimal hemodynamics for surgical aortic valve replacement due to a small annulus and application of transcatheter aortic valve replacement due to low coronary ostia and limited space at the root. We sutured a bioprosthetic valve that was up-sized by 2 to 3 valve sizes in the skirt portion of a Valsalva graft (Ter-umo Medical Corp) and implanted the coronary button high, close to sinotubular junction, to achieve optimal hemody-namics and prepare patients for future transcatheter aortic valve replacement. (Ann Thorac Surg 2022;114:e303-5) (c) 2022 by The Society of Thoracic Surgeons
引用
收藏
页码:E303 / E305
页数:3
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