2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic …
2022年11月2日 · Aortic root and ascending aortic aneurysm and aortic dissection are leading causes of morbidity and mortality in Loeys-Dietz syndrome. 1,8,9,12 Aortic dissection may occur at relatively small aortic diameters in Loeys-Dietz syndrome when related to pathogenic variants in TGFBR1, TGFBR2, and SMAD3. 1,2,6 The specific genetic variant and severity ...
Video assisted right mini-thoracotomy for aortic root replacement
2018年1月15日 · Aortic root procedures can be performed safely through a right anterior mini-thoracotomy. The use of a camera and automated suturing technology may further facilitate this procedure, enabling more surgeons to offer this less invasive approach to patients.
tourniquet. Later, after removing the cross-clamp, this will be used to vent the aortic root and measure central pressure in case the radial line is damped. All cannulas are brought out through the same access incision and positioned medially and out of the way. CPB is then started. If required, a retrograde cardioplegia catheter can
Aortic root surgery - Mayo Clinic
2023年1月18日 · Aortic root surgery is done to prevent: A rupture of the aorta. A tear between the layers of the aorta's wall, called an aortic dissection. Stretching of the aortic valve. The risk of these events depends on the size of the aortic root and cause of enlargement. Aortic root surgery is recommended for those at high risk.
Aortic Root Remodeling - Operative Techniques in Thoracic and ...
2019年3月28日 · In the presence of annular dilatation, the addition of an annuloplasty has been shown to be beneficial for valve competence and repair durability. Aortic root remodeling combined with cusp repair and correction of annular dilatation leads to excellent valve stability and minimal valve-related complications.
Surgery for Aortic Valve Endocarditis - Operative Techniques in ...
In this article, valve replacement operations for aortic valve endocarditis are reviewed, starting with the least complex and finishing with homograft aortic root replacement. In addition, a simple but potentially lifesaving operation is described that can be used for patients with intractable bleeding related to complex aortic root reconstruction.
A novel simple technique to enlarge the aortic annulus by ...
2020年10月23日 · A small aortic root can cause patient–prosthesis mismatch and exclude patients from transcatheter AVR. Our concept is similar to the Nicks and Manouguian procedures—to enlarge the fibrous portion of the root and subsequently the aortic annulus.
Straightforward Contemporary Step-by-Step Approach to Aortic Root ...
2022年12月10日 · Valve-sparing aortic root replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable.
Cannulation Strategies for Aortic Root Surgery | SpringerLink
For patients with or without distal aortic aneurysmal disease and dissection, epiaortic scanning and intraoperative transesophageal echocardiography can facilitate cannulation of the true lumen (whether directly or through needle puncture) in an area of …
Tourniquet fixing prior to knot tying reduces forces during aortic ...
2020年8月18日 · The narrow space between valve stent and aortic root may favour unintended damage when the finger slips off or the suture cuts into the aortic wall. From laparoscopic training, it is known that deep knots are performed with higher forces than conventional surgical knots owing to limited visual and haptic feedback and restriction of movement [ 16 ].