Repair of Aortic Valve Insufficiency and Ascending Aortic Aneurysm using Geometric Ring Annuloplasty

Publication date: Available online 7 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Marc W. Gerdisch, Scott D. Weaver, J. Scott Rankin, Vinay BadhwarAbstractThis video demonstrates aortic valve repair during ascending aneurysm replacement. A 71-year-old male has congestive heart failure, Grade 3 aortic insufficiency (AI), and a 5.4 cm ascending aneurysm. On testing, the non-coronary leaflet is prolapsing, the annulus is 27 mm, and the leaflets size to a 21-mm ring. The ring is sutured beneath the aortic valve annulus with 9 horizontal mattress sutures. The non-coronary leaflet is plicated, correcting the prolapse. A 28 mm Dacron tube graft is sutured to the supra-coronary and distal aorta. After repair, AI is trivial with a 9 mmHg mean systolic gradient. The patient recovered uneventfully.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research