Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
The original valve-sparing procedures for aortic root aneurysms were remodeling and reimplantation of the aortic root. The remodeling technique provides more physiologic movement of the cusps within 3 reconstructed neo-sinuses, thus preserving root expansibility through the interleaflet triangles....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2016-12-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.6.489 |
| Summary: | The original valve-sparing procedures for aortic root aneurysms were remodeling and reimplantation of the
aortic root. The remodeling technique provides more physiologic movement of the cusps within 3 reconstructed
neo-sinuses, thus preserving root expansibility through the interleaflet triangles. However, the durability
of remodeling has been a matter of concern due to the high rate of aortic insufficiency when annular
dilation is not addressed. Therefore, a modified approach was developed, combining a physiologic remodeling
of the root with a subvalvular annuloplasty. This case report highlights the first case of successful
aortic root remodeling with external subvalvular ring annuloplasty in Korea. |
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| ISSN: | 2233-601X 2093-6516 |