Top

General Thoracic and Cardiovascular Surgery

Published in:

21-10-2022 | How to Do It

Modified composite-graft technique for aortic root replacement

Authors: Yorihiko Matsumoto, Yashutosh Joshi, Mathew Doyle, Shingo Takahara, Hideyuki Shimizu, Paul Jansz

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2023

Abstract

This report describes a novel modification of a self-assembled composite graft to replace the aortic root and left ventricular outflow tract (LVOT). This technique enables the implantation of a larger valve than conventional ways and simultaneous reconstruction of LVOT. This technique comprises Inspiris Resilia aortic valve and Gelweave Valsalva graft. By placing the valve in the sinus portion of the graft, the bioprosthesis that is 1 mm smaller than the graft can be accommodated, providing a proper length of the collar for LVOT reconstruction. This technique is useful for patients who require redo-aortic root replacement and have restricted LVOT.

Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax. 1968;23(4):338–9.CrossRefPubMedPubMedCentral

Etz CD, Homann TM, Rane N, et al. Aortic root reconstruction with a bioprosthetic valved conduit: a consecutive series of 275 procedures. J Thorac Cardiovasc Surg. 2007;133(6):1455–63.CrossRefPubMed

Sirajuddin S, Wang CK, Al-Abri Q, et al. Early results of a modified biological valved conduit for the bentall procedure. J Card Surg. 2019;34(6):412–8.CrossRefPubMed

Tabata M, Takayama H, Bowdish ME, Smith CR, Stewart AS. Modified bentall operation with bioprosthetic valved conduit: Columbia university experience. Ann Thorac Surg. 2009;87(6):1969–70.CrossRefPubMed

Harloff MT, Papoy AR, Hirji SA, et al. Aortic root replacement to accommodate future valve-in-valve transcatheter aortic valve replacement. Ann Thorac Surg. 2021;111(6):e437–8.CrossRefPubMed

Scaffa R, Salica A, Weltert L, et al. Optimized use of the “skirt” of the valsalva graft for the completion bentall procedure. Ann Thorac Surg. 2021;112(4):e303–5.CrossRefPubMed

Song L, He G, Imin E, et al. “Chimney” bentall procedure in the small aortic root after prior aortic valve operations. Ann Thorac Surg. 2020;110(3):e241–3.CrossRefPubMed

Title: Modified composite-graft technique for aortic root replacement
Authors: Yorihiko Matsumoto
Yashutosh Joshi
Mathew Doyle
Shingo Takahara
Hideyuki Shimizu
Paul Jansz
Publication date: 21-10-2022
Publisher: Springer Nature Singapore
Published in: General Thoracic and Cardiovascular Surgery / Issue 4/2023
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-022-01883-7

At a glance: The STEP trials

Springer Medicine

Modified composite-graft technique for aortic root replacement

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2023

Surgical outcomes in acute type A aortic dissection based on surgeon experience

A retrospective multi-institutional survey of characteristics of surgically treated spontaneous hemopneumothorax patients

Late outcomes of the frozen elephant trunk technique for acute and chronic aortic dissection: the angle change of the FROZENIX by “spring-back” force

Association between frailty and long-term outcomes among patients undergoing thoracic aortic surgery via median sternotomy

Efficacy and safety of the SARS-CoV-2 mRNA vaccine in lung transplant recipients: a possible trigger of rejection

Externally mounted versus internally mounted leaflet aortic bovine pericardial bioprosthesis: meta-analysis