Aortic Root Replacement of Small Roots to Prepare for Transcatheter Aortic Valve Replacement

Ann Thorac Surg. 2022 Jan 11:S0003-4975(22)00024-8. doi: 10.1016/j.athoracsur.2021.12.023. Online ahead of print.ABSTRACTSmall aortic root is a significant limitation of optimal hemodynamics for surgical aortic valve replacement due to a small annulus and application of transcatheter aortic valve replacement (TAVR) due to low coronary ostia and limited space at the root. We sutured up-sized a bioprosthetic valve by 2-3 valve sizes in the skirt portion of Valsalva graft and implanted the coronary button high, close to sinotubular junction, to achieve optimal hemodynamics and prepare patients for future TAVR.PMID:35031288 | DOI:10.1016/j.athoracsur.2021.12.023
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research