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Eur J Cardiothorac Surg 2005;27:717-719
© 2005 Elsevier Science NL

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Aortic root substitution after aortic valve replacement: a prosthesis-sparing operation

^a Cardiac Surgery, S.Orsola-Malpighi Hospital, via Massarenti 11, Bologna 40138, Italy
^b University of Milan, Via Vittoria Colonna, 19, Milano 20149, Italy

Received 9 December 2004; received in revised form 5 January 2005; accepted 12 January 2005.

^* Corresponding author. Address: University of Milan, Via Vittoria Colonna, 19, Milano 20149, Italy. Tel.: +39 335 654 8336; fax: +39 051 345 990. (E-mail: emmanuel.villa{at}voila.fr). (URL: http://www.ctsnet.org/home/evilla).

Patients who underwent isolated aortic valve replacement could come to attention for new onset aortic disease or progression of borderline alterations not corrected at the first operation, especially in the subset of bicuspid valve disease. We describe our technique in redo operations for aortic root disease, using only a vascular graft and sparing the previously implanted valve prosthesis. In case of normally functioning mechanical prosthesis, we always left the valve in situ and substituted the aortic root with a Dacron conduit, extending the replacement if necessary to the other diseased portions of the thoracic aorta.

Key Words: Aneurysm • Aortic root • Aortic surgery • Heart valve • Mechanical • Reoperation

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				M. Leacche, J. M. Balaguer, R. Umakanthan, and J. G. Byrne Prosthetic valve sparing aortic root replacement: an improved technique Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 919 - 921. [Abstract] [Full Text] [PDF]