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....

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Main Authors: Sang-Ho Cho, Dae Hyun Kim, Young Tae Kwak
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2016-12-01
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
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author Sang-Ho Cho
Dae Hyun Kim
Young Tae Kwak
author_facet Sang-Ho Cho
Dae Hyun Kim
Young Tae Kwak
author_sort Sang-Ho Cho
collection DOAJ
description 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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spelling doaj.art-901f0971c0fa4933b9e6da685a87ac902022-12-22T00:01:53ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162016-12-0149648949210.5090/kjtcs.2016.49.6.489Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring AnnuloplastySang-Ho Cho0Dae Hyun Kim1Young Tae Kwak2Kyung Hee University Hospital at GangdongKyung Hee University Hospital at GangdongKyung Hee University Hospital at GangdongThe 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.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.6.489Aortic rootAortic aneurysmAortic valvesurgeryCardiac valve annuloplasty
spellingShingle Sang-Ho Cho
Dae Hyun Kim
Young Tae Kwak
Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
Korean Journal of Thoracic and Cardiovascular Surgery
Aortic root
Aortic aneurysm
Aortic valve
surgery
Cardiac valve annuloplasty
title Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
title_full Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
title_fullStr Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
title_full_unstemmed Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
title_short Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty
title_sort valve sparing root replacement aortic root remodeling with external subvalvular ring annuloplasty
topic Aortic root
Aortic aneurysm
Aortic valve
surgery
Cardiac valve annuloplasty
url http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.6.489
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AT daehyunkim valvesparingrootreplacementaorticrootremodelingwithexternalsubvalvularringannuloplasty
AT youngtaekwak valvesparingrootreplacementaorticrootremodelingwithexternalsubvalvularringannuloplasty