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JoVE Journal
Medicine
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
JoVE Journal
Medicine
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JoVE Journal Medicine
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Full Text
14,764 Views
14:14 min
December 11, 2017

DOI: 10.3791/56790-v

Reza Tavakoli1,2, Guillaume Lebreton1, Max Gassmann2, Peiman Jamshidi3, Pascal Leprince1

1Department of Cardiovascular and Thoracic Surgery, Pitie Salpetriere University Hospital, Assistance Publique,Hopitaux de Paris (APHP), Institut de Cardiologie, 2Institute of Veterinary Physiology and Zurich Center for Integrative Human Physiology,University of Zurich, 3Herzzentrum Hirslanden,Klinik St Anna

Valve-sparing aortic root replacement has the advantage of preserving the patient's own aortic valve. The complexity of the reported techniques to date restricts their use to a limited number of cardiac surgeons. This protocol describes step-by-step a standardized technique reproducible by a greater number of cardiac surgeons.

The overall goal of this protocol is to describe in detail a Standardized and Reproducible Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement with particular emphasis on the management of the first row of the proximal suture. This method can help answer key questions regarding aortic valve preservation during aortic route replacement. The main advantage of this technique is that it uses a single graft with a pre-shaped sinus portion that helps standardization of the procedure.

Begin this procedure with patient selection as detailed in the text protocol. Prepare the surgery suite and the patient for surgery as previously described. Access the heart through a median sternotomy as referenced in the text protocol.

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