How to avoid crimping during valve sparing aortic root replacement using the Valsalva graft

Victor T. Tsang, Duke E. Cameron, Shahzad G. Raja

Research output: Contribution to journalArticle

Abstract

The reimplantation technique for valve sparing aortic root replacement (David I) has improved management of patients with aortic root aneurysm and structurally normal aortic valves. The Valsalva graft (Gelweave Valsalva, Sultzer Vascutek, Renfrewshire, Scotland) further simplified the procedure by offering a root prosthesis with preformed neo-sinuses that may reduce physiologic stresses on valve leaflets and improve long-term valve durability. However, in-conduit suturing of the aortic valve annulus and a small rim of sinus remnant to the graft sinuses may create folds of the sinus remnant that lead to bleeding or distortion of the prosthetic root. We report a method to minimize crimping of the aortic graft sinuses.

Original languageEnglish (US)
Pages (from-to)266-267
Number of pages2
JournalEuropean Journal of Cardio-thoracic Surgery
Volume40
Issue number1
DOIs
StatePublished - Jul 1 2011

Keywords

  • Aortic root replacement
  • Aortic valve
  • Valsalva graft

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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